Individual provider · Type 1 NPI

Casey L. Gustavison, ANP

Nurse Practitioner · Carbondale, IL

NPI number 1508004706 Active

Practice location

409 W Oak St
Carbondale, IL 62901-1464

Fax (618) 351-1287

Mailing address

PO Box 3988
Carbondale, IL 62902-3988

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209008417 (IL)

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 1508004706

Casey L. Gustavison, ANP's National Provider Identifier is 1508004706, issued on Jan 26, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Carbondale, IL. The record was last updated on Oct 30, 2020.