Gustafson, Natalie Jane

Gustafson, Natalie Jane is an individual health care provider with primary practice located at 1542 Golf Course Rd Ste 204 , Grand Rapids MN 55744-3555. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gustafson, Natalie Jane can be contacted via phone (218) 999-7000.

Contact Information

Primary practice address
1542 Golf Course Rd Ste 204 Grand Rapids MN 55744-3555
Phone: (218) 999-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R178810-1 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP0497 Minnesota

Profile Details

NPI number 1144578568
LBN Legal business name Gustafson, Natalie Jane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2012
Last updated Sep 26th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers