DEBRA JEAN GUSTAFSON


Address: 1720 Waterfront Dr, Iowa City, IA 52240-4414
Phone: 3193394475

DEBRA JEAN GUSTAFSON (NPI# 1447389028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447389028
Entity Type Individual
Full Name DEBRA JEAN GUSTAFSON
Credential ARNP
Practice Address 1720 Waterfront Dr
Iowa City
IA 52240-4414
Mailing Address 1205 Broadway St
Pella
IA 50219-1231
Practice Telephone 3193394475
Mailing Telephone 3195516770
Enumeration Date 2007-03-02
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
F083427 IA Physician Assistants & Advanced Practice Nursing Providers

Other Providers DEBRA GUSTAFSON

NPI Name Taxonomy Address Enumeration
1659559037 Debra Gustafson Psychologist 1011 Veterans Memorial Pkwy, Bradley Hospital, Riverside, RI 02915-5061 2008-02-07

Office Location

Street Address 1720 WATERFRONT DR
City IOWA CITY
State IA
Zip Code 52240-4414

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083640114 Hy Vee Inc Durable Medical Equipment & Medical Supplies 1720 Waterfront Dr, Iowa City, IA 52240-4414 2006-06-23
1447877535 Kurt Jones Pharmacist 1720 Waterfront Dr, Iowa City, IA 52240-4414 2020-07-06
1194359869 Kelsey King Pharmacist 1720 Waterfront Dr, Iowa City, IA 52240-4458 2020-03-02
1932733722 Otavio Augusto Hegouet Pharmacist 1720 Waterfront Dr, Iowa City, IA 52240-4414 2020-03-02
1952940108 David Henning Pharmacist 1720 Waterfront Dr, Iowa City, IA 52240-4414 2020-01-04
1851864870 Natalee Paige Gent Dietitian, Registered 1720 Waterfront Dr, Iowa City, IA 52240-4414 2019-01-03
1558785352 Hy Vee Inc Pharmacy 1720 Waterfront Dr, Iowa City, IA 52240-4414 2014-02-13
1447524962 Kymberly Ann Wroble Dietitian, Registered 1720 Waterfront Dr, Iowa City, IA 52240-4414 2012-03-01
1295863546 Tyson J Ketelsen Pharmacist 1720 Waterfront Dr, Iowa City, IA 52240-4414 2007-03-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215408703 Huan-chung Scott Liu Psychologist 332 S Linn St Ste 14, Iowa City, IA 52240 2018-12-10
1124531579 Amber Marie Wong Counselor 47 High Circle Drive, Iowa City, IA 52240 2017-11-08
1356852321 Spencer Joseph Bohr Specialist/Technologist 314 S Governor St, Iowa City, IA 52240 2017-10-18
1992215651 Kezia Jade Digioia Student in an Organized Health Care Education/Training Program 505 East Burlington St, Apt 7b, Iowa City, IA 52240 2017-10-09
1457879694 Teleigha Teilon Lourell Starks Specialist/Technologist 629 South Johnson, 3, Iowa City, IA 52240 2017-09-08
1003213448 National Seating & Mobility, Inc Durable Medical Equipment & Medical Supplies 2415 Heinz Rd Ste 1, Iowa City, IA 52240 2014-12-01
1750701439 County of Johnson Public Health or Welfare 855 S Dubuque, Suite 217, Iowa City, IA 52240 2014-04-22
1083045892 Julie Louise Gallagher Dietitian, Registered 1720 Waterfront Drive, Iowa City, IA 52240 2013-12-04
1619314515 Jade A Baxley Physical Therapist 1130 Scott Blvd., Ste. 1, Iowa City, IA 52240 2013-05-31
1629316062 Shelter House Community Shelter and Transition Services Community/Behavioral Health 429 Southgate Ave, Iowa City, IA 52240 2013-01-18
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285143438 Kristen Eastlund Nurse Practitioner 200 Hawkins Dr, Dept of Obstetrics and Gynecology, Iowa City, IA 52242-1009 2017-09-20
1558726737 Michelle C Mosier Nurse Practitioner 200 Hawkins Dr, Iowa City, IA 52242 2015-12-15
1003286493 Dana Aybout Nurse Practitioner 200 Hawkins Dr, Iowa City, IA 52242-1009 2015-09-29
1548666274 Abigail Ann Bartolo-costello Nurse Practitioner 200 Hawkins Dr, Iowa City, IA 52242-1009 2014-11-06
1912345844 Nicole Heather Goff Nurse Practitioner 200 Hawkins Dr, Dept of Ob/gyn, Iowa City, IA 52242-1009 2013-06-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023399011 Tassie Ann Carter Nurse Practitioner 1766 Central Ave, Planned Parenthood of The Heartland Dubuque Clinic, Dubuque, IA 52001-3607 2011-09-02
1225317183 Planned Parenthood of The Heartland Nurse Practitioner 2201 Ave H, Planned Parenthood of The Heartland Fort Madison Clinic, Fort Madison, IA 52627-4048 2011-08-10
1336428291 Planned Parenthood of The Heartland Nurse Practitioner 114 E Monroe #111, Planned Parenthood of The Heartland Mount Pleasant Clin, Mount Pleasant, IA 52641-1970 2011-08-10
1992083190 Planned Parenthood of The Heartland Nurse Practitioner 311 N 4th Ave, Planned Parenthood of The Heartland Washington Clinic, Washington, IA 53253-2247 2011-07-22
1700020203 Lindsey J Keonin Nurse Practitioner 2304 University Avenue, Des Moines, IA 50311-4316 2009-04-28
1497914758 Jacqueline Kay Greenfield Nurse Practitioner 603 Indian Hills Dr Bldg 15, Ottumwa, IA 52501-1468 2008-06-03
1710003454 Julie A Thompson Nurse Practitioner 4225 Red Oak Dr, Cedar Rapids, IA 52403-3947 2007-03-22
1730219742 Planned Parenthood of The Heartlan Nurse Practitioner 3425 1st Ave Se Suite 100, Planned Parenthood of The Heartland Cedar Rapids Clinic, Cedar Rapids, IA 52402-6005 2007-03-07
1790841161 Nina Rae Cullinan Nurse Practitioner 727 N West St, Carroll, IA 51401-2348 2006-12-29
1902974538 Lylia Jean Poland Nurse Practitioner 515 W Wall St, Seymour, IA 52590-1333 2006-12-01
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Competitor

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City IOWA CITY
Zip Code 52240

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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