Active NPIIndividual provider

Lesley A Gustafson, CNM

Advanced Practice Midwife in Waterbury, Connecticut

NPI Number1639163199
Practice location
140 Grandview Ave, Suite 202, Waterbury, CT 06708
Fax
203-573-8166
Last updated
September 11, 2025

Lesley A Gustafson is an Advanced Practice Midwife based in Waterbury, CT. Lesley A Gustafson practices in Waterbury, CT and has the professional credentials of CNM. The NPI Number for Lesley A Gustafson is 1639163199 and holds a License No. 114 (WV). The current practice location address for Lesley A Gustafson is 140 Grandview Ave, Suite 202, Waterbury, CT 06708 and can be reached out via phone at 203-755-2344 and via fax at 203-573-8166.

Provider Profile Details

NPI Number
1639163199
Provider Name
Lesley A Gustafson
Credential
CNM
Provider Entity Type
Individual
Gender
Female
Address
140 Grandview Ave, Suite 202, Waterbury, CT 06708
Phone Number
203-755-2344
Fax Number
203-573-8166
Primary Taxonomy
Advanced Practice Midwife · 367A00000X
Sole Proprietor
No
Other Names
-- Lesley A Nego-Gustafson, CNM (Former Name)
Provider Enumeration Date
September 9, 2005
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
140 Grandview Ave
Suite 202
Waterbury, CT 06708
Zip
06708
Phone Number
203-755-2344
Fax Number
203-573-8166
Waterbury, CT 06708Get directions →

Provider Business Mailing Address Details

Address
140 Grandview Ave
Suite 202 Associated Womens Health
Waterbury, CT 06708
City
Waterbury
State
CT
Zip
06708
Phone Number
203-755-2344
Fax Number
203-573-8166

License Information

License Number (1)
114
License State (1)
WV
Taxonomy (1)
Advanced Practice Midwife · 367A00000X
License Number (2)
57006
License State (2)
WV
Taxonomy (2)
Advanced Practice Midwife · 367A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lesley A Gustafson, CNM?

The NPI number of Lesley A Gustafson, CNM is 1639163199. It was assigned on September 9, 2005 and is currently active in the NPPES registry.

What is the specialty of Lesley A Gustafson, CNM?

Lesley A Gustafson, CNM is registered under the primary taxonomy Advanced Practice Midwife (code 367A00000X), licensed in WV under license number 114.

Where does Lesley A Gustafson, CNM practice?

The practice location is 140 Grandview Ave, Suite 202, Waterbury, CT 06708. The office can be reached at 203-755-2344 (phone) or 203-573-8166 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639163199 directly on the NPPES registry website.

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