Individual
MRS. KARA NICOLE GUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-7101
Mailing address
758 E MILL ST, PORT ALLEGANY, PA 16743-9744
(814) 558-4393
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
SP033157
PA
390200000X
Student in an Organized Health Care Education/Training Program
RN662723
PA
Other
Enumeration date
04/23/2025
Last updated
07/15/2025
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