Individual
LINDSEY RUTH GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2054 MEADOW SPRINGS DR, VIENNA, VA 22182-3771
(630) 886-7896
Mailing address
2054 MEADOW SPRINGS DR, VIENNA, VA 22182-3771
(630) 886-7896
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024180224
VA
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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