MRS. CARMEN MICHELLE GUSTAFSON


Address: 1989 Miamisburg Centerville Rd, Centerville, OH 45459-3859
Phone: 9375286890

MRS. CARMEN MICHELLE GUSTAFSON (NPI# 1679818405) 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) 1679818405
Entity Type Individual
Full Name MRS. CARMEN MICHELLE GUSTAFSON
Credential ANP
Practice Address 1989 Miamisburg Centerville Rd
Centerville
OH 45459-3859
Practice Telephone 9375286890
Mailing Telephone 9375286890
Enumeration Date 2012-12-05
Last Update Date 2013-01-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SW0102X Clinical Nurse Specialist
Specialization: Women's Health
COA.13464-NP OH Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1989 MIAMISBURG CENTERVILLE RD
City CENTERVILLE
State OH
Zip Code 45459-3859

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184626368 Anthony F Lugo Family Medicine 1989 Miamisburg Centerville Rd, Suite 301, Centerville, OH 45459-3859 2005-06-01
1619352929 Karen M Gisslen Advanced Practice Midwife 1989 Miamisburg Centerville Rd, Suite 204, Centerville, OH 45459-3859 2015-07-28
1689824922 Paul J. Pawlosky Ob-gyn, Inc. Obstetrics & Gynecology 1989 Miamisburg Centerville Rd, Suite 302, Centerville, OH 45459-3859 2008-09-23
1740406701 Drs Green and Hodge Inc Colon & Rectal Surgery 1989 Miamisburg Centerville Rd, Suite 201 Satellite Office, Centerville, OH 45459 2007-04-18
1962582908 Internal Medicine Care, Inc Internal Medicine 1989 Miamisburg Centerville Rd, Suite 201, Centerville, OH 45459-3859 2006-10-16
1467438432 Wasyl Terlecky Jr. Family Medicine 1989 Miamisburg Centerville Rd, Suite 301, Centerville, OH 45459-3859 2005-12-21
1508842600 Paul J Pawlosky Obstetrics & Gynecology 1989 Miamisburg Centerville Rd, Suite 302, Centerville, OH 45459-3859 2005-12-20
1760487599 Jeffrey B Gleick Family Medicine 1989 Miamisburg Centerville Rd, Suite 301, Centerville, OH 45459-3859 2005-06-17
1932101151 Edward J Kinkopf Family Medicine 1989 Miamisburg Centerville Rd, Ste 301, Centerville, OH 45459-3858 2005-06-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659917466 Sarai Burke Robinson Occupational Therapist 2200 Miami Valley Rd, Dayton, OH 45459 2019-11-27
1689179855 Paragon Infusion Therapy, LLC Durable Medical Equipment & Medical Supplies 1746 Thomas Paine Pkwy, Centerville, OH 45459 2018-03-28
1922555473 Hannah Gualtieri Specialist/Technologist Miami Valley Drive, Suite 320, Centerville, OH 45459 2016-09-01
1326410028 Kathleen E Dorsten Counselor 37 Irongate Park Dr, Centerville, OH 45459 2015-10-21
1184000846 Valeriya Falkenshtern Specialist/Technologist 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 2015-08-05
1700169331 Monica Lynn Carrico Registered Nurse 7625 Paragon Road Suite C, Dayton, OH 45459 2011-09-20
1427360080 Tonia S Campbell Physical Therapist 1235 E. Alex Bell Road, Centerville, OH 45459 2010-07-11
1265768956 Health At Home, LLC Home Health 6443 Bethany Village Drive, Dayton, OH 45459 2009-10-30
1881826337 Annetta Jean Davis Social Worker 7950 Clyo Road, Centerville, OH 45459 2009-08-18
1740459783 Ryan A Long Dentist 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 2008-02-25
Find all providers in zip 45459

Taxonomy Information

Taxonomy Code 364SW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013253707 Lisa Lynne Leese Clinical Nurse Specialist 2815 Dustin Rd Ste C, Oregon, OH 43616-3497 2012-12-27
1083669733 Carolyn L Berry-pettit Clinical Nurse Specialist 621 Broadway St, Portsmouth, OH 45662-4788 2006-05-23
1346765419 Nancy Wigle Clinical Nurse Specialist 20000 Harvard Ave, Warrensville Heights, OH 44122-6805 2017-08-09
1437532504 Stephanie L Rogers Clinical Nurse Specialist 6482 E Main St, Suite B, Reynoldsburg, OH 43068-7312 2015-07-07
1689938011 Family Planning Association of Northeast Ohio, Inc. Clinical Nurse Specialist 5594 State Route 7, Andover, OH 44003-9490 2012-06-29

Competitor

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City CENTERVILLE
Zip Code 45459

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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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