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NPI Profile for KIMBERLY R GUSTAFSON in TACOMA, WA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neonatal |
363LN0000X | 50 | Nurse Practitioner |
| NPI Number | 1437102696 |
|
| Status | Active | |
| Credentials | MN, NNP, ARNP | |
| Entity | Individual | |
| Enumeration date | 05/18/2006 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KIMBERLY R GUSTAFSON
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KIMBERLY R GUSTAFSON, MN, NNP, ARNP