Virginia Gustafson

NPI 1083019285 - Registered Nurse - 163W00000X

NPI Details
NPI 1083019285
Gender Female
Enumeration Date 10/30/2014
Last Updated 10/30/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
516 E NIZHONI BLVD
GALLUP NM, 87301-5748, US
Phone (505) 722-1000
Fax
Business Location
PO BOX 1337
GALLUP NM, 87305-1337, US
Phone (505) 722-1000
Fax
Toxanomy
Taxonomy Code 163W00000X
License State New Mexico
License Number RN-75942
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According to our database, Virginia Gustafson NPI is 1083019285, taxonomy code is 163W00000X and license number is RN-75942, license state is located at New Mexico. Virginia Gustafson physically located at 516 E Nizhoni Blvd, Gallup NM, 87301-5748. NPI Number Virginia Gustafson has the Individual type.

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1083019285 NPI number is provided on an as is basis without warranty of any kind. 1083019285 is maintained by the National Plan & Provider Enumeration System. The contents of Virginia Gustafson are for informational purposes only.