Tatyana Gustafson RN, CNS, FPMHNP

NPI 1225365943 - Clinical Nurse Specialist - 364SA2200X

NPI Details
NPI 1225365943
Gender Female
Enumeration Date 11/17/2009
Last Updated 10/10/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
4111 MEDICAL PKWY
SUITE 201
AUSTIN TX, 78756-3700, US
Phone (512) 451-8774
Fax (512) 451-9490
Business Location
4111 MEDICAL PKWY
SUITE 201
AUSTIN TX, 78756-3700, US
Phone (512) 451-8774
Fax (512) 451-9490
Toxanomy
Taxonomy Code 364SA2200X
License State Texas
License Number 710364
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According to our database, Ms. Tatyana Gustafson RN, CNS, FPMHNP NPI is 1225365943, taxonomy code is 364SA2200X and license number is 710364, license state is located at Texas. Tatyana Gustafson RN, CNS, FPMHNP physically located at 4111 Medical Pkwy, Austin TX, 78756-3700. NPI Number Tatyana Gustafson RN, CNS, FPMHNP has the Individual type.

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1225365943 NPI number is provided on an as is basis without warranty of any kind. 1225365943 is maintained by the National Plan & Provider Enumeration System. The contents of Tatyana Gustafson RN, CNS, FPMHNP are for informational purposes only.