Individual provider · Type 1 NPI

Melissa Gustafson

Pediatric Nurse Practitioner · Palo Alto, CA

NPI number 1891176434 Active

Practice location

700 Welch Rd, Suite 301
Palo Alto, CA 94304-1502

Call (650) 497-9063 Map

Mailing address

1219 Edgewood Rd
Redwood City, CA 94062-2728

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XNP95002210 (CA)

Pediatric Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1891176434

Melissa Gustafson's National Provider Identifier is 1891176434, issued on Jun 9, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Palo Alto, CA. The record was last updated on Jul 16, 2015.