Wallace A Gustafson, MAP, MA
Student in an Organized Health Care Education/Training Program in Hartford, Connecticut
1972212959- Practice location
- 331 Wethersfield Ave, Hartford, CT 06114-1420
- Phone
- 860-236-4511
- Fax
- —
- Last updated
- November 18, 2022
Wallace Ann Gustafson is a Student in an Organized Health Care Education/Training Program based in Hartford, CT. Wallace Ann Gustafson practices in Hartford, CT and has the professional credentials of MAP, MA. The NPI Number for Wallace Ann Gustafson is 1972212959. The current practice location address for Wallace Ann Gustafson is 331 Wethersfield Ave, Hartford, CT 06114-1420 and can be reached out via phone at 860-236-4511.
Provider Profile Details
- NPI Number
- 1972212959
- Provider Name
- Wallace Ann Gustafson
- Credential
- MAP, MA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 331 Wethersfield Ave, Hartford, CT 06114-1420
- Phone Number
- 860-236-4511
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 18, 2022
- Last Update Date
- November 18, 2022
- Certification Date
- November 18, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 331 Wethersfield Ave
Hartford, CT 06114-1420 - City
- Hartford
- State
- Connecticut
- Zip
- 06114-1420
- Phone Number
- 860-236-4511
Provider Business Mailing Address Details
- Address
- Po Box 567
Willmar, MN 56201-0567 - City
- Willmar
- State
- MN
- Zip
- 56201-0567
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Wallace A Gustafson, MAP, MA?
The NPI number of Wallace A Gustafson, MAP, MA is 1972212959. It was assigned on November 18, 2022 and is currently active in the NPPES registry.
What is the specialty of Wallace A Gustafson, MAP, MA?
Wallace A Gustafson, MAP, MA is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Wallace A Gustafson, MAP, MA practice?
The practice location is 331 Wethersfield Ave, Hartford, CT 06114-1420. The office can be reached at 860-236-4511 (phone).
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 1972212959 directly on the NPPES registry website.