Individual
LESLEY A GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
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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