person
Ms. Kimberly Rae Gustafson, MN,NNP,ARNP
Neonatal Nurse Practitioner in Tacoma, Washington
NPI 1437102696

Kimberly Rae Gustafson is a Neonatal Nurse Practitioner based in University Place, WA and is specialized in Neonatal. Kimberly Rae Gustafson practices in Tacoma, WA and has the professional credentials of MN,NNP,ARNP. The NPI Number for Kimberly Rae Gustafson is 1437102696 and holds a License No. AP30004020 (Washington).

The current practice location address for Kimberly Rae Gustafson is 315 Mlk Jr. Way, Tacoma, WA and can be reached out via phone at 253-403-1019. You can also correspond with Kimberly Rae Gustafson through the mailing address at 3800 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA - 98466-4495 (mailing address contact number: 253-403-1019).

Location: 315 Mlk Jr. Way, Tacoma, WA, 98466-4495
person
Provider Profile Details
NPI Number
1437102696
Provider Name
Kimberly Rae Gustafson
Credential
MN,NNP,ARNP
Provider Entity Type
Individual
Gender
Female
Address
315 Mlk Jr. Way, Tacoma, WA, 98466-4495
Phone Number
253-403-1019
Fax Number
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
315 Mlk Jr. Way
City
State
Zip
98405
Phone Number
253-403-1019
Fax Number
person
Provider Business Mailing Address Details
Address
3800 Bridgeport Way W
City
State
Zip
98466-4495
Phone Number
253-403-1019
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
AP30004020 (Washington)
Definition
Definition to come...
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