Individual provider · Type 1 NPI
Judith Lynn Gustafson, FNP-C
Family Nurse Practitioner · Missoula, MT
NPI number
1851554471
Active
Practice location
500 W Broadway St
Missoula, MT 59802-4008
Mailing address
PO Box 12
Liberty Lake, WA 99019-0012
Other practice locations
- 601 W Spruce St Ste K, Missoula, MT 59802-4047 · (406) 327-1950
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | NUR-APRN-LIC-100250 (MT) |
| Family Nurse Practitioner | 363LF0000X | 21661 (MT) |
Family Nurse Practitioner: Definition to come...
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Other family nurse practitioner providers in Missoula
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About NPI 1851554471
Judith Lynn Gustafson, FNP-C's National Provider Identifier is 1851554471, issued on Jul 3, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Missoula, MT. The record was last updated on May 25, 2021.