| Aimee Jean Gustitis, RN | |
| 3855 W Chester Pike Ste 300, Newtown Square, PA 19073-2304 | |
| (484) 337-2585 | |
| Not Available | 
| Full Name | Aimee Jean Gustitis | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Gerontology | 
| Location | 3855 W Chester Pike Ste 300, Newtown Square, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1356098578 | NPI | - | NPPES | 
| 521048 | Other | PA | PRIVATE PAY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | SP027914 (Pennsylvania) | Secondary | 
| 363LG0600X | Nurse Practitioner - Gerontology | SP027914 (Pennsylvania) | Primary | 
| Entity Name | Main Line Healthcare | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Aimee Jean Gustitis, RN 3803 W Chester Pike Ste 160, Newtown Square, PA 19073-2336 Ph: (484) 337-1632 | Aimee Jean Gustitis, RN 3855 W Chester Pike Ste 300, Newtown Square, PA 19073-2304 Ph: (484) 337-2585 | 
| Harpreet Kaur, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Bishop Hollow Rd, Newtown Square, PA 19073 Phone: 484-641-3976 | |
| Mrs. Kathryn Matuliewich, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3734 W Chester Pike, Newtown Square, PA 19073 Phone: 610-356-6100 | |
| Dana D Laverty,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3855 W Chester Pike Ste 300, Newtown Square, PA 19073 Phone: 484-337-2585 | |
| Cecile B Miller, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3855 W Chester Pike Ste 300, Newtown Square, PA 19073 Phone: 484-337-2585 Fax: 484-476-9010 | |
| Dawn Marie Beard, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3855 W Chester Pike Ste 300, Newtown Square, PA 19073 Phone: 484-337-2585 | |
| Diane F Vietz, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3599 W Chester Pike, Newtown Square, PA 19073 Phone: 610-353-0294 | |
| Mrs. Preethi Alexander, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3930 West Chester, Pike Minute Clinic, Newtown Square, PA 19073 Phone: 866-389-2727 |