Mallory M Gustafson, ARNP

NPI #1144728486 in Deland, Florida

Provider Information

NPI Number
1144728486
Entity Type
Individual
Name
Mallory M Gustafson, ARNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
ARNP
Enumeration Date
Jan 31, 2018
Last Updated
Jan 31, 2018

Practice Location

Address
632 E VICTORIA TRAILS BLVD
City
Deland
State
Florida
ZIP Code
32724-7911
Phone
(970) 443-0948

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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