MARY GUSTAFSON, NP
Nurse Practitioner - Family
Active
Individual
NPI: 1922019124
Practice Address
DORN VETERANS ADMINISTRATION6439 GARNER'S FERRY ROAD
Columbia, SC 29209
Phone: (803) 776-4000
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | 127 (SC) |
Frequently Asked Questions
NPI 1922019124 is the National Provider Identifier for MARY GUSTAFSON, NP, a Nurse Practitioner - Family provider located in Columbia, SC. This NPI was enumerated on August 11, 2006.
MARY GUSTAFSON, NP practices at DORN VETERANS ADMINISTRATION, 6439 GARNER'S FERRY ROAD, Columbia, SC 29209.
Quick Facts
- NPI
- 1922019124
- Type
- Individual
- Enumerated
- Aug 11, 2006
- Last Updated
- Apr 30, 2024
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