Individual
MEGAN GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-PC
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(913) 485-0633
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(913) 485-0633
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
2014022525
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
53-76377-052
KS
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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