Individual
MEREDITH SIMPSON GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6106
(617) 732-5500
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6106
(617) 278-0707
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041486987
IL
363L00000X
Nurse Practitioner
Primary
RN2369537
MA
363LA2100X
Acute Care Nurse Practitioner
209022581
IL
Other
Enumeration date
03/10/2021
Last updated
09/02/2025
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