NATALIE JANE GUSTAFSON

GRAND RAPIDS, MN
NPI1144578568
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MN  CNP0497)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: MN  R178810-1)
Enumeration Date2012-08-15
Last Update Date2018-09-26
Business Address
NATALIE JANE GUSTAFSON NP
1542 GOLF COURSE RD STE 204
GRAND RAPIDS, MN 55744-3555
Phone number: 218-999-7000
Mailing Address
NATALIE JANE GUSTAFSON NP
20 5TH ST SE
COOK, MN 55723-9702
Phone number: 218-666-5941