Individual
DANA GUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 COLLEGE ST, WILKESBORO, NC 28697-2854
(336) 651-7460
Mailing address
306 COLLEGE ST, WILKESBORO, NC 28697-2854
(336) 651-7460
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F04240348
NC
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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