MR. Jacob Ronald Gaustad, RN

NPI #1376331470 in Post Falls, Idaho

Provider Information

NPI Number: 1376331470
Entity Type: Individual
Name: MR. Jacob Ronald Gaustad, RN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: RN
Enumeration Date: Apr 28, 2025
Last Updated: Apr 28, 2025

Practice Location

Address: 5142 W HEDGEWOOD AVE
City: Post Falls
State: Idaho
ZIP Code: 83854-6969
Phone: (480) 240-8586

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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