Individual
TRACY GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10203 E MCDOWELL MOUNTAIN RANCH RD, SCOTTSDALE, AZ 85255-8600
(480) 484-4600
Mailing address
10203 E MCDOWELL MOUNTAIN RANCH RD, SCOTTSDALE, AZ 85255-8600
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN194920
AZ
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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