Individual provider · Type 1 NPI
Megan Gustafson, MSN, RN, CPNP-PC
Pediatric Nurse Practitioner · Kansas City, MO
NPI number
1629478706
Active
Practice location
2401 Gillham Rd
Kansas City, MO 64108-4619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 53-76377-052 (KS) |
| Pediatric Nurse Practitioner | 363LP0200X | 2014022525 (MO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1629478706
Megan Gustafson, MSN, RN, CPNP-PC's National Provider Identifier is 1629478706, issued on Aug 26, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Kansas City, MO. The record was last updated on Aug 26, 2014.