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Katelyn C Gustafson, NP
Nurse Practitioner in Norton Shores, Michigan
NPI 1912454455

Katelyn C Gustafson is a Nurse Practitioner based in Indianapolis, MI. Katelyn C Gustafson practices in Norton Shores, MI and has the professional credentials of NP. The NPI Number for Katelyn C Gustafson is 1912454455 and holds a License No. 5008868 (Michigan).

The current practice location address for Katelyn C Gustafson is 6401 Prairie St Ste 1700, Norton Shores, MI and can be reached out via phone at 231-727-7944 and via fax at 231-724-7812.

Location: 6401 Prairie St Ste 1700, Norton Shores, MI, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912454455
Provider Name
Katelyn C Gustafson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
6401 Prairie St Ste 1700, Norton Shores, MI, 46219-4959
Phone Number
231-727-7944
Fax Number
231-724-7812
Provider Enumeration Date
09/01/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1912454455 05 MI
institution
Provider Business Practice Location Address Details
Address
6401 Prairie St Ste 1700
City
Norton Shores
State
Michigan
Zip
49444-7843
Phone Number
231-727-7944
Fax Number
231-724-7812
person
Provider Business Mailing Address Details
Address
6401 Prairie St Ste 1700
City
Norton Shores
State
Michigan
Zip
49444-7843
Phone Number
231-727-7944
Fax Number
231-724-7812
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4704373177 (Michigan)
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
71013513A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
363LX0001X
License No.
5008868 (North Carolina)
Definition
Definition to come...
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