National Provider Identifier
Shawnna Gustafson
Shawnna Gustafson is listed in the NPPES registry with a primary specialty of Registered Nurse in Fredonia, NY and a listed phone number of (716) 397-7617.
Profile Overview
- NPI
- 1306297809
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- June 26, 2016
- Last Updated
- June 26, 2016
Practice Location
- 177 Gardner St
- Fredonia, NY 14063-1634
Phone: (716) 397-7617
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1306297809
- Entity Type
- Individual
- Last Name
- Gustafson
- First Name
- Shawnna
- Mailing Street Address
- 177 Gardner St
- Mailing City
- Fredonia
- Mailing State
- NY
- Mailing ZIP Code
- 14063-1634
- Mailing Country
- US
- Mailing Phone
- (716) 397-7617
- Practice Street Address
- 177 Gardner St
- Practice City
- Fredonia
- Practice State
- NY
- Practice ZIP Code
- 14063-1634
- Practice Country
- US
- Practice Phone
- (716) 397-7617
- Enumeration Date
- June 26, 2016
- Last Updated
- June 26, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)