Individual
BRITTANY SHALAIGH GUSTAVSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1021 SILVER BLUFF RD, AIKEN, SC 29803-5879
(803) 648-0587
(803) 648-9846
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN228242
GA
Other
Enumeration date
01/17/2020
Last updated
03/29/2022
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