Ms Mallory Lynn Gustin, APRN, CNP | |
1001 Hart Blvd Ste 100, Monticello, MN 55362-8929 | |
(763) 295-2921 | |
(763) 271-3807 |
Full Name | Ms Mallory Lynn Gustin |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 1001 Hart Blvd Ste 100, Monticello, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437542016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | CNP 3741 (Minnesota) | Primary |
363LG0600X | Nurse Practitioner - Gerontology | CNP 3741 (Minnesota) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Centracare Health - Monticello | Monticello, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Stellis Health Pa | 1153233796 | 56 |
Entity Name | Stellis Health Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184664674 PECOS PAC ID: 1153233796 Enrollment ID: O20031103000458 |
Mailing Address | Practice Location Address |
---|---|
Ms Mallory Lynn Gustin, APRN, CNP 1700 Highway 25 N, Buffalo, MN 55313-1930 Ph: (763) 682-1313 | Ms Mallory Lynn Gustin, APRN, CNP 1001 Hart Blvd Ste 100, Monticello, MN 55362-8929 Ph: (763) 295-2921 |
Dr. Evan Lucas Dyce, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 Hart Blvd, Monticello, MN 55362 Phone: 763-271-2200 Fax: 763-271-1799 | |
Cassandra Marie Hirman, APRN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Hart Blvd Ste 100, Monticello, MN 55362 Phone: 763-295-2921 | |
Victoria Sybilla Hadley, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 Cedar St Ste 103, Monticello, MN 55362 Phone: 763-200-1160 Fax: 763-645-5458 | |
Shelly A..j. Neiman, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1107 Hart Blvd, Monticello, MN 55362 Phone: 763-271-1370 | |
Mrs. Ali Margaret Wells, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 Hart Blvd, Monticello, MN 55362 Phone: 320-271-2200 | |
Kasy Lynn Omann, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Hart Blvd Ste 100, Monticello, MN 55362 Phone: 763-295-2921 |