| Michelle R Gustafson, FNP-C | |
|
1135 W University Dr Ste 425, Rochester, MI 48307-1897 | |
| (248) 650-5864 | |
| (248) 650-5865 |
| Full Name | Michelle R Gustafson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1135 W University Dr Ste 425, Rochester, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497126874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP8221 (Arizona) | Primary |
| Entity Name | Vhs Outpatient Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912979964 PECOS PAC ID: 4486566726 Enrollment ID: O20031104000523 |
| Entity Name | Dispatchhealth-arizona |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922532944 PECOS PAC ID: 7810268422 Enrollment ID: O20170731003542 |
| Entity Name | Modern Vascular Of Sun City Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083179378 PECOS PAC ID: 1951644905 Enrollment ID: O20190515001928 |
| Entity Name | Modern Vascular Of Tucson Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255896544 PECOS PAC ID: 5496081721 Enrollment ID: O20190820001568 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle R Gustafson, FNP-C 1135 W University Dr Ste 425, Rochester, MI 48307-1897 Ph: (248) 650-5864 | Michelle R Gustafson, FNP-C 1135 W University Dr Ste 425, Rochester, MI 48307-1897 Ph: (248) 650-5864 |
Elvedina Ribic, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 W University Dr Ste 100, Rochester, MI 48307 Phone: 248-824-2570 | |
Ms. Margaret Glembocki, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5813 Fax: 248-650-9160 | |
Gail Lynn Eddy, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5000 | |
William E Schlicklin, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5000 | |
Dr. Nicole Renee Clark, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 408 Meadow Brook Rd, Rochester, MI 48309 Phone: 248-370-2341 | |
Christie Marie Rivard, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2200 N Squirrel Rd, Rochester, MI 48309 Phone: 248-370-2100 | |
Kelly Scott, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1135 W University Dr Ste 425, Rochester, MI 48307 Phone: 248-650-5861 Fax: 248-650-5865 |