BROOKE GUSTAFSON
Student in an Organized Health Care Education/Training Program
Active
Individual
NPI: 1639061716
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes | - |
Frequently Asked Questions
NPI 1639061716 is the National Provider Identifier for BROOKE GUSTAFSON, a Student in an Organized Health Care Education/Training Program provider located in Salt Lake City, UT. This NPI was enumerated on July 15, 2025.
BROOKE GUSTAFSON practices at 27 S MARIO CAPECCHI DR, Salt Lake City, UT 84112.
Quick Facts
- NPI
- 1639061716
- Type
- Individual
- Enumerated
- Jul 15, 2025
- Last Updated
- Jul 15, 2025
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