Individual
KIRSTEN GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2545 SCHOENERSVILLE RD FL MSOUTH5, BETHLEHEM, PA 18017-7300
(484) 884-6503
(484) 884-6504
Mailing address
1605 N CEDAR CREST BLVD STE 411, ALLENTOWN, PA 18104-2323
(610) 969-1914
(610) 969-3951
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP020796
PA
Other
Enumeration date
10/02/2019
Last updated
06/08/2020
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