Individual
HAYLEE M GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
1517 ORCHARD DR APT 22, NEBRASKA CITY, NE 68410-1575
(308) 440-4655
Mailing address
1517 ORCHARD DR APT 22, NEBRASKA CITY, NE 68410-1575
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NE
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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