Individual provider · Type 1 NPI

Michele Martinez Gustafson, CNP

Nurse Practitioner · Albuquerque, NM

NPI number 1154843910 Active

Practice location

4901 Lang Ave NE Ste 100
Albuquerque, NM 87109-4597

Fax (505) 883-0725

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XCNP-03282 (NM)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1154843910

Michele Martinez Gustafson, CNP's National Provider Identifier is 1154843910, issued on Jul 13, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Albuquerque, NM. The record was last updated on Mar 13, 2025.