MS. Kimberly Rae Gustafson, MN, NNP, ARNP
NPI #1437102696 in Tacoma, Washington
Provider Information
- NPI Number
- 1437102696
- Entity Type
- Individual
- Name
- MS. Kimberly Rae Gustafson, MN, NNP, ARNP
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Nurse Practitioner - Neonatal
- Credential
- MN, NNP, ARNP
- Enumeration Date
- May 18, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 315 MLK JR. WAY
- Address 2
- MS ZO-NTL
- City
- Tacoma
- State
- Washington
- ZIP Code
- 98405
- Phone
- (253) 403-1019
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Neonatal — Neonatal |
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