Individual provider · Type 1 NPI

Julia A. Gustafson, NP

Nurse Practitioner · Sonora, CA

NPI number 1174509103 Active

Practice location

12811 Covey Cir
Sonora, CA 95370-5935

Fax (209) 588-0911

Mailing address

13989 Stanton Cir
Sonora, CA 95370-8641

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP5485 (CA)

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 1174509103

Julia A. Gustafson, NP's National Provider Identifier is 1174509103, issued on Dec 21, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sonora, CA. The record was last updated on Nov 18, 2016.