Search › Wisconsin › 164W00000X
Tammy Gustafson, LPN
NPI 1609133123 · on the registry since 2012 · sole proprietor
Practice
- Address
- 10356 Ridge Rd
Danbury, WI 54830 - Phone
- (715) 656-3316
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-04-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin