Individual provider · Type 1 NPI

Mallory M. Gustafson, ARNP

Family Nurse Practitioner · Daytona Beach, FL

NPI number 1144728486 Active

About NPI 1144728486

Mallory M. Gustafson, ARNP's National Provider Identifier is 1144728486, issued on Jan 31, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Daytona Beach, FL. The record was last updated on Oct 12, 2026.