Stephanie Michelle Gustafson
Nurse Anesthetist, Certified Registered in Nashville, TN. Individual provider (NPI-1).
NPI number1043663719
StatusActive
Last updated in NPPESFeb 13, 2017
Details
- NPI
- 1043663719
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Michelle Gustafson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2016
- Last updated
- Feb 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 22167 | TN | Yes |
| 163W00000X | Registered Nurse | 202250 | TN |
Practice location
110 29th Ave NSuite 201
Nashville, TN 37203-1401
Phone 615-327-7870 · Fax 615-800-8610
Mailing address
110 29th Ave NSte 202
Nashville, TN 37203-1401
Phone 615-327-4304 · Fax 615-327-7940
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