Individual provider · Type 1 NPI

Andrew Kirby Gustavson, PA-C

Physician Assistant · Waxhaw, NC

NPI number 1306571302 Active

Practice location

3614 Providence Rd S Ste 200
Waxhaw, NC 28173-6310

Call (704) 384-8640 Map

Fax (704) 384-8650

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 2682 Court Dr Ste B, Gastonia, NC 28054-1442 · (704) 824-0500

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-12435 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

5 other providers at this address

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About NPI 1306571302

Andrew Kirby Gustavson, PA-C's National Provider Identifier is 1306571302, issued on Jul 22, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Waxhaw, NC. The record was last updated on Dec 28, 2022.