Individual
ERIC MATTHEW GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 NOBLE ST, FAIRBANKS, AK 99701-4948
(907) 459-3511
(907) 459-3588
Mailing address
PO BOX 73720, FAIRBANKS, AK 99707-3720
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
249869
AK
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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