Individual provider · Type 1 NPI

Tracey Lynn Gustitus, CRNP

Gerontology Clinical Nurse Specialist · West Reading, PA

NPI number 1164935391 Active

Practice location

420 S 5th Ave
West Reading, PA 19611-2143

Mailing address

PO Box 13579
Reading, PA 19612-3579

Specialties and licenses

TaxonomyCodeLicense
Gerontology Clinical Nurse Specialist Primary 364SG0600XSP017797 (PA)

Gerontology Clinical Nurse Specialist: Definition to come...

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About NPI 1164935391

Tracey Lynn Gustitus, CRNP's National Provider Identifier is 1164935391, issued on Nov 9, 2017. The primary taxonomy on file is Gerontology Clinical Nurse Specialist (364SG0600X), and the practice location is in West Reading, PA. The record was last updated on Jun 12, 2019.