GAIL M GUSTAFSON (NPI# 1609929736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609929736 |
| Entity Type | Individual |
| Full Name | GAIL M GUSTAFSON |
| Credential | CRNP |
| Practice Address |
205 S Front St 4th Floor, Bma Harrisburg PA 17104-1619 |
| Mailing Address |
409 South Front St Ste 2f Harrisburg PA 17104-1621 |
| Practice Telephone | 7172318555 |
| Practice Fax Number | 7172318568 |
| Mailing Telephone | 7172318555 |
| Mailing Fax Number | 7172318568 |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2019-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN644665 | PA | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP012635 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 103079740 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366572554 | Gail Elizabeth Gustafson | Social Worker | 150 Davie St, Pittsboro, NC 27312-8833 | 2007-03-06 |
| 1447767306 | Gail Gustafson | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2018-01-02 |
| 1356598841 | Gail Susan Gustafson | Contractor | 119 Ne 3rd St, Gresham, OR 97030-7403 | 2008-08-26 |
| Street Address |
205 S FRONT ST 4TH FLOOR, BMA |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17104-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528030491 | Kantor and Tkatch Associates PC | Internal Medicine | 205 S Front St, Harrisburg, PA 17104-1619 | 2006-02-06 |
| 1316556566 | Kelly Anna Fetterhoff | Nurse Practitioner | 205 S Front St, Harrisburg, PA 17104-1619 | 2020-07-23 |
| 1932722121 | Benjamin Ravichander | Student in an Organized Health Care Education/Training Program | 205 S Front St, Suite 3c, Harrisburg, PA 17104 | 2020-05-21 |
| 1184253452 | O'hara Kay Haley | Surgery | 205 S Front St, Brady 916, Harrisburg, PA 17104-1619 | 2020-04-07 |
| 1518596105 | Catherine Bongka Baye Easton | Obstetrics & Gynecology | 205 S Front St, Harrisburg, PA 17104-1619 | 2020-04-06 |
| 1346879871 | Steven Millner | Emergency Medicine | 205 S Front St, Harrisburg, PA 17104-1619 | 2020-04-06 |
| 1861021727 | George Chachati | Surgery | 205 S Front St, Harrisburg, PA 17104-1619 | 2020-04-03 |
| 1689204927 | Kayla Wentzel | Physician Assistant | 205 S Front St, Harrisburg, PA 17104-1619 | 2020-01-24 |
| 1609438175 | Yujian Chen | Podiatrist | 205 S Front St, Harrisburg, PA 17104-1619 | 2019-07-03 |
| 1649832379 | Syed Rasikh Jaffery | Emergency Medicine | 205 S Front St, Harrisburg, PA 17104-1619 | 2019-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531292 | Siddharth Goel | Internal Medicine | 205 S Front St Upmc Pinnacle, Internal Medicine Residen, Suite 3c, Harrisburg, PA 17104 | 2020-06-03 |
| 1114541364 | Kolsoum Yari | Student in an Organized Health Care Education/Training Program | 205 S Front St, Suite 3c Upmc Pinnacle Internal Medicin, Harrisburg, PA 17104 | 2020-06-03 |
| 1225652696 | Uba Chinyere Udeh | Internal Medicine | 205 S Front St. Suite 3c, Harrisburg, PA 17104 | 2020-06-02 |
| 1568086932 | Firdausi Abubakar Matawalle | Student in an Organized Health Care Education/Training Program | 205 S Front Street, Suite 3c Upmc Pinnacle Hospital, Harrisburg, PA 17104 | 2020-06-02 |
| 1467075853 | Medhavi Rajput | Student in an Organized Health Care Education/Training Program | 205 S Front St, Suite 3c Upmc Pinnacle, Internal Medici, Harrisburg, PA 17104 | 2020-05-20 |
| 1659992147 | Manpreet Sidhu | Internal Medicine | Upmc Pinnacle Hospitals 205 S Front Street, Suite 3c, Harrisburg, PA 17104 | 2020-05-06 |
| 1336760230 | Mahaswi Sirangi | Internal Medicine | Upmc Pinnacle Hospitals, 205 S Front Street, Suite 3c, Harrisburg, PA 17104 | 2020-05-01 |
| 1033748488 | Abhishek Patel | Emergency Medicine | 205 South Front Street Brady 3, Harrisburg, PA 17104 | 2020-04-07 |
| 1306496443 | Jinah Kim | Student in an Organized Health Care Education/Training Program | 205 S. Front St., Brady Building, Harrisburg, PA 17104 | 2019-09-19 |
| 1356903744 | Krupa Patel | Podiatrist | 205 S Front Street Brady Hall 905, Harrisburg, PA 17104 | 2019-07-05 |
| Find all providers in zip 17104 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790098671 | Jacqueline M Hostetter | Nurse Practitioner | 100 South Cameron St., Harrisburg, PA 10104-2547 | 2010-07-20 |
| 1124191713 | Tracy M Lehmann | Nurse Practitioner | 300 Mary St, Apt 88, Harrisburg, PA 17104-3535 | 2006-11-15 |
| 1811557614 | Christopher James Story | Nurse Practitioner | 1617 N Front St, Harrisburg, PA 17102-2414 | 2019-06-14 |
| 1922577576 | Natalie Cross | Nurse Practitioner | 111 S Front St, Harrisburg, PA 17101 | 2018-11-13 |
| 1508234790 | Laurissa Rae Ash | Nurse Practitioner | 4000 Linglestown Rd, Harrisburg, PA 17112-1017 | 2015-09-04 |
| 1356733067 | Lisa A Cass | Nurse Practitioner | 4000 Linglestown Rd, Harrisburg, PA 17112-1017 | 2015-03-04 |
| 1952709982 | Larissa Ann Bower | Nurse Practitioner | 805 Sir Thomas Ct Fl 2, Harrisburg, PA 17109 | 2014-12-08 |
| 1619252848 | Megan Mccrae Lofgren | Nurse Practitioner | 2704 Commerce Dr, Harrisburg, PA 17110-9380 | 2011-10-19 |
| 1376831008 | Margaret M Gingrich | Nurse Practitioner | 100 N Cameron St Ste 301-east, Harrisburg, PA 17101-2424 | 2011-07-15 |
| 1932411030 | Jean Marie Rasimowicz | Nurse Practitioner | 2401 Park Dr Ste 101, Harrisburg, PA 17110 | 2010-07-07 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17104 |
Please comment or provide details below to improve the information on GAIL M GUSTAFSON.
| 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.