Individual
STEPHANIE MICHELLE GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 29TH AVE N, SUITE 201, NASHVILLE, TN 37203-1401
(615) 327-7870
(615) 800-8610
Mailing address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1401
(615) 327-4304
(615) 327-7940
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
202250
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
22167
TN
Other
Enumeration date
07/19/2016
Last updated
02/13/2017
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