Individual provider · Type 1 NPI

Amber Gustafson, ACNPC-AG

Acute Care Nurse Practitioner · Little River, SC

NPI number 1316663750 Active

Practice location

4000 Highway 9 E
Little River, SC 29566-7833

Mailing address

1504 Watson Ave
Little River, SC 29566-8288

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X26698 (SC)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1316663750

Amber Gustafson, ACNPC-AG's National Provider Identifier is 1316663750, issued on Oct 18, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Little River, SC. The record was last updated on Oct 18, 2022.