Individual
BROOKE E. GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
905 24TH WAY SW STE A2, OLYMPIA, WA 98502-6033
(360) 742-5002
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-0502
(206) 764-0516
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN60887665
WA
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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