Tammy Gustafson, LPN is a
Licensed Practical Nurse based in Danbury, Wisconsin. Tammy Gustafson is licensed to practice in Wisconsin (license number 34632-31) and her current practice location is
10356 Ridge Rd, Danbury, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 656-3316.
NPI number for Tammy Gustafson is 1609133123 and her current mailing address is 10356 Ridge Rd, Danbury, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609133123.
Provider's Profile
| Full Name | Tammy Gustafson |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 10356 Ridge Rd, Danbury, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1609133123
- Provider Enumeration Date: 04/20/2012
- Last Update Date: 04/20/2012
Medical Identifiers
Medical identifiers for Tammy Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609133123 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 34632-31 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tammy Gustafson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tammy Gustafson, LPN
10356 Ridge Rd,
Danbury, WI 54830-9160
Ph: (715) 656-3316 | Tammy Gustafson, LPN
10356 Ridge Rd,
Danbury, WI 54830-9160
Ph: (715) 656-3316 |
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