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Ms. Casey L Gustavison, ANP
Nurse Practitioner in Carbondale, Illinois
NPI 1508004706

Casey L Gustavison is a Nurse Practitioner based in Carbondale, IL. Casey L Gustavison practices in Carbondale, IL and has the professional credentials of ANP. The NPI Number for Casey L Gustavison is 1508004706 and holds a License No. 209008417 (Illinois).

The current practice location address for Casey L Gustavison is 409 W Oak St, Carbondale, IL and can be reached out via phone at 618-529-4455 and via fax at 618-351-1287.

Location: 409 W Oak St, Carbondale, IL, 62902-3988
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508004706
Provider Name
Casey L Gustavison
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
409 W Oak St, Carbondale, IL, 62902-3988
Phone Number
618-529-4455
Fax Number
618-351-1287
Provider Enumeration Date
01/26/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
71002863B 01 IN CSR
PENDING 05 IN
71002863A 01 IN LICENSE
institution
Provider Business Practice Location Address Details
Address
409 W Oak St
City
Carbondale
State
Illinois
Zip
62901-1464
Phone Number
618-529-4455
Fax Number
618-351-1287
person
Provider Business Mailing Address Details
Address
409 W Oak St
City
Carbondale
State
Illinois
Zip
62901-1464
Phone Number
618-529-4455
Fax Number
618-351-1287
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209008417 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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