Susan E Gustafson, CRNP
Nurse Practitioner, Family in Pittsburgh, PA. Individual provider (NPI-1).
NPI number1760616759
StatusActive
Last updated in NPPESMay 13, 2014
Details
- NPI
- 1760616759
- Entity type
- Individual (NPI-1)
- Name
- Susan E Gustafson
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 6, 2009
- Last updated
- May 13, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | SP010257 | PA | Yes |
Practice location
634 Alpha DrSuite 600
Pittsburgh, PA 15238-2802
Phone 610-892-8991 · Fax 610-892-8991
Mailing address
634 Alpha DrSuite 600
Pittsburgh, PA 15238-2802
Phone 610-892-8991 · Fax 610-892-8991
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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