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Individual

KATRINA GUSTAFSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, FNP-BC

Contact information

Practice address
15910 FOREST LIGHT DR, COLORADO SPRINGS, CO 80908-2031
(719) 640-4232
Mailing address
15910 FOREST LIGHT DR, COLORADO SPRINGS, CO 80908-2031

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.1000169-NP
CO

Other

Enumeration date
02/19/2025
Last updated
02/19/2025
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