| Jody Gustafson, | |
|
410 Ginkgo St S, Soap Lake, WA 98851-9166 | |
| (509) 246-1323 | |
| (509) 246-0669 |
| Full Name | Jody Gustafson |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 410 Ginkgo St S, Soap Lake, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922945583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 60720556 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jody Gustafson, 11367 Road B.2 Nw, Ephrata, WA 98823-7809 Ph: (509) 246-1323 | Jody Gustafson, 410 Ginkgo St S, Soap Lake, WA 98851-9166 Ph: (509) 246-1323 |
Joe Barbee, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 246 Ephrata Ave Nw, Soap Lake, WA 98851 Phone: 509-760-4144 | |
Mrs. Erica Gaertner, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 19652 Road A.5 Ne, Soap Lake, WA 98851 Phone: 509-431-8059 |