Gustafson, Mireille S

Gustafson, Mireille S is an individual health care provider with primary practice located at 25 Marshall St , North Adams MA 01247. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Gustafson, Mireille S can be contacted via phone (413) 664-4541.

Contact Information

Primary practice address
25 Marshall St North Adams MA 01247
Phone: (413) 664-4541
Fax: (413) 662-3311
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 169385 Massachusetts

Profile Details

NPI number 1861402166
LBN Legal business name Gustafson, Mireille S
Credentials RNCNS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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