institution
Thomas C Gustafson
Family Nurse Practitioner in Seattle, Washington
NPI 1821213612

Thomas C Gustafson is a Family Nurse Practitioner based in Seattle, WA and is specialized in Family. Thomas C Gustafson practices in Seattle, WA. The NPI Number for Thomas C Gustafson is 1821213612 and holds a License No. OP00001187 (Washington).

The current practice location address for Thomas C Gustafson is 1717 Nw Market St, Seattle, WA and can be reached out via phone at 206-782-0500 and via fax at 206-782-0502.

Location: 1717 Nw Market St, Seattle, WA, 98107-5225
institution
Provider Profile Details
NPI Number
1821213612
Provider Name
Thomas C Gustafson
Credential
Provider Entity Type
Organization
Address
1717 Nw Market St, Seattle, WA, 98107-5225
Phone Number
206-782-0500
Fax Number
206-782-0502
Provider Enumeration Date
04/16/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
9647421 05 WA
1046325 05 WA
institution
Provider Business Practice Location Address Details
Address
1717 Nw Market St
City
State
Zip
98107-5225
Phone Number
206-782-0500
Fax Number
206-782-0502
person
Provider Business Mailing Address Details
Address
1717 Nw Market St
City
State
Zip
98107-5225
Phone Number
206-782-0500
Fax Number
206-782-0502
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
AP30007148 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
OP00001187 (Washington)
Definition
Definition to come...
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