Individual provider · Type 1 NPI
Vicky Kay Gustafson, REGISTERED NURSE
Registered Nurse · Moreno Valley, CA
Practice location
14174 Vincente Dr
Moreno Valley, CA 92553-3505
Mailing address
124174 Vincente Drive
Moreno Valley, CA 92553
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 363657 (CA) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1487879854
Vicky Kay Gustafson, REGISTERED NURSE's National Provider Identifier is 1487879854, issued on Apr 13, 2007. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Moreno Valley, CA. The record was last updated on Jul 8, 2007.