MS. Casey L Gustavison, ANP
NPI #1508004706 in Carbondale, Illinois
Provider Information
- NPI Number
- 1508004706
- Entity Type
- Individual
- Name
- MS. Casey L Gustavison, ANP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- ANP
- Enumeration Date
- Jan 26, 2009
- Last Updated
- Oct 30, 2020
Practice Location
- Address
- 409 W OAK ST
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62901-1464
- Phone
- (618) 529-4455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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