| Julia A Gustafson, NP | |
|
12811 Covey Cir, Sonora, CA 95370-5935 | |
| (209) 588-8840 | |
| (209) 588-0911 |
| Full Name | Julia A Gustafson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 12811 Covey Cir, Sonora, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174509103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | NP5485 (California) | Primary |
| Entity Name | Sonora Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033100854 PECOS PAC ID: 4284538505 Enrollment ID: O20040316000829 |
| Entity Name | Tuolumne Me-wuk Indian Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619952397 PECOS PAC ID: 6507816386 Enrollment ID: O20050128000861 |
| Mailing Address | Practice Location Address |
|---|---|
| Julia A Gustafson, NP 13989 Stanton Cir, Sonora, CA 95370-8641 Ph: (209) 588-5584 | Julia A Gustafson, NP 12811 Covey Cir, Sonora, CA 95370-5935 Ph: (209) 588-8840 |
Ms. Marsha Ann Malgesini, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20111 Cedar Rd N, Sonora, CA 95370 Phone: 209-533-7400 Fax: 209-533-7406 | |
Mrs. Krysta Lee Wolken, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Greenley Rd Ste 922, Sonora, CA 95370 Phone: 209-536-3750 | |
Deborah Lynn Goreham, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 690 Guzzi Ln Ste C, Sonora, CA 95370 Phone: 209-533-0333 | |
Karin Erica Rohn, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20111 Cedar Rd N, Sonora, CA 95370 Phone: 209-533-7433 Fax: 209-533-7439 | |
Janene R Phillips, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 690 Guzzi Ln Ste C, Sonora, CA 95370 Phone: 209-233-0333 Fax: 209-533-0782 | |
Daniel Duron, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13975 Mono Way Ste G, Sonora, CA 95370 Phone: 209-533-9600 | |
Mrs. Lisa Jewell Andrews, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 690 Guzzi Ln Ste A, Sonora, CA 95370 Phone: 209-536-5070 |