Olin Vernon Gustad Valid NPI

Individual provider · Medical-Surgical Registered Nurse · Sells, AZ

NPI

1295368967

Type

Individual (Type 1)

Primary specialty

Medical-Surgical Registered Nurse (Registered Nurse)

Specialty group

Nursing Service Providers

Taxonomy code

163WM0705X

License number

RN183767 (AZ)

Sex

Male

Sole proprietor

No

Enumerated

2020-02-20

Last updated

2020-02-20