Individual
BRITTANY RENEE GUSTAFSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
111 VINEYARD AVE APT C, HIGHLAND, NY 12528-1441
(845) 282-2908
Mailing address
111 VINEYARD AVE APT C, HIGHLAND, NY 12528-1441
(845) 282-2908
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
777024
NY
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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