Individual
LESLEY A GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
140 GRANDVIEW AVE, SUITE 202, WATERBURY, CT 06708
(203) 755-2344
(203) 573-8166
Mailing address
140 GRANDVIEW AVE, SUITE 202 ASSOCIATED WOMENS HEALTH, WATERBURY, CT 06708
(203) 755-2344
(203) 573-8166
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
114
WV
367A00000X
Advanced Practice Midwife
Primary
57006
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9450001000
—
WV
Enumeration date
09/09/2005
Last updated
09/11/2025
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