Individual provider · Type 1 NPI

Gregory Robert Gustavson, APRN

Acute Care Nurse Practitioner · Willimantic, CT

NPI number 1770418030 Active

Practice location

112 Mansfield Ave
Willimantic, CT 06226-2040

Mailing address

5 Beaudet Ter
Columbia, CT 06237-1404

Other practice locations

  • 100 Grand St, New Britain, CT 06052-2016 · (860) 276-5000
  • 326 Washington St, Norwich, CT 06360-2740 · (860) 889-8331
  • 435 Lewis Ave, Meriden, CT 06451-2101 · (203) 694-8928

Specialties and licenses

TaxonomyCodeLicense
Vascular & Interventional Radiology Physician 2085R0204X12.017664 (CT)
Acute Care Nurse Practitioner Primary 363LA2100X92342 (CT)
Gerontology Nurse Practitioner 363LG0600X92342 (CT)

Acute Care Nurse Practitioner: Definition to come...

60 other providers at this address

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About NPI 1770418030

Gregory Robert Gustavson, APRN's National Provider Identifier is 1770418030, issued on Jun 16, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Willimantic, CT. The record was last updated on Aug 18, 2026.