Individual
MEAGHAN L GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP-C
Contact information
Practice address
2024 MAIDEN LANE, SUITE 203, JOPLIN, MO 64804
(417) 659-4661
(417) 659-8509
Mailing address
2024 MAIDEN LANE, SUITE 203, JOPLIN, MO 64804
(417) 659-4661
(417) 659-8509
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2023041153
MO
Other
Enumeration date
10/11/2023
Last updated
10/12/2023
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