Gustafson, Tatyana

Gustafson, Tatyana is an individual health care provider with primary practice located at 5424 W Highway 290 Ste 108 , Austin TX 78735-8827. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gustafson, Tatyana can be contacted via phone (512) 430-1130.

Contact Information

Primary practice address
5424 W Highway 290 Ste 108 Austin TX 78735-8827
Phone: (512) 430-1130
Fax: (512) 677-6806
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 710364 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 710364 Texas

Profile Details

NPI number 1225365943
LBN Legal business name Gustafson, Tatyana
Credentials RN, CNS, FPMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2009
Last updated Jul 21st, 2022 - about 2 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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