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Individual

AIMEE JEAN GUSTITIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3855 W CHESTER PIKE STE 300, NEWTOWN SQUARE, PA 19073-2304
(484) 337-2585
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
(484) 337-1632

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP027914
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP027914
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
521048
PRIVATE PAY
PA
Enumeration date
03/08/2022
Last updated
02/19/2025
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