Individual provider · Type 1 NPI

Mary Dobry Gustafson, NP

Family Nurse Practitioner · Columbia, SC

NPI number 1922019124 Active

Practice location

Dorn Veterans Administration, 6439 Garner's Ferry Road
Columbia, SC 29209

Call (803) 776-4000 Map

Mailing address

6439 Garners Ferry Rd, Dorn Veteran Hospital
Columbia, SC 29209-1638

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X127 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1922019124

Mary Dobry Gustafson, NP's National Provider Identifier is 1922019124, issued on Aug 11, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Columbia, SC. The record was last updated on Apr 30, 2024.