BROOKE E. GUSTAFSON (NPI# 1396395646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396395646 |
| Entity Type | Individual |
| Full Name | BROOKE E. GUSTAFSON |
| Credential | RN |
| Practice Address |
905 24th Way Sw Ste A2 Olympia WA 98502-6033 |
| Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
| Practice Telephone | 3607425002 |
| Mailing Telephone | 2067640502 |
| Mailing Fax Number | 2067640516 |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN60887665 | WA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326570995 | Brooke Gustafson | Student in an Organized Health Care Education/Training Program | 571 S Floyd St, Ste 412, Louisville, KY 40202-3818 | 2017-04-01 |
| Street Address |
905 24TH WAY SW STE A2 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502-6033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265969612 | Cassandra J Willbourn | Registered Nurse | 905 24th Way Sw Ste A2, Olympia, WA 98502-6033 | 2017-05-16 |
| 1669039384 | Katala Lach | Registered Nurse | 905 24th Way Sw Ste A2, Olympia, WA 98502-6033 | 2019-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
| 1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
| 1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
| 1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
| 1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
| 1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
| Find all providers in zip 98502 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740312057 | Shannon Eagle | Registered Nurse | 3029 Lindell Rd Ne, Olympia, WA 98506-3623 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356957856 | Alina Maries | Registered Nurse | 15707 Ne 160th St, Woodinville, WA 98072-8179 | 2020-09-20 |
| 1871138305 | Kevin Truong | Registered Nurse | 16101 Bothell Everett Hwy Unit E203, Mill Creek, WA 98012-1207 | 2019-11-07 |
| 1013568559 | Jennifer Kay Kirwan | Registered Nurse | 108 Garfield St, Seattle, WA 98109-3127 | 2019-09-26 |
| 1265998306 | Teresa A Carden | Registered Nurse | 615 E 22nd St, Vancouver, WA 98663-3208 | 2019-02-13 |
| 1619448826 | Edward Alvon Murray Jr. | Registered Nurse | Bldg 9025 5th St, Tacoma, WA 98431-0001 | 2018-12-16 |
| 1285102293 | Andrea Sander | Registered Nurse | 19883 12th Ave Ne, Poulsbo, WA 98370 | 2018-11-07 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1013401306 | Rebecca Lynn Calderara | Registered Nurse | 3815 S Othello St Apt 202, Seattle, WA 98118-3510 | 2018-06-19 |
| 1629594601 | Kelly Mcintire | Registered Nurse | 3701 Pacific Ave Ste 200, Tacoma, WA 98418-7838 | 2017-08-21 |
| 1962927384 | Linda Louise Tourigny | Registered Nurse | 345 6th St Suite 300, Bremerton, WA 98337 | 2017-08-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BROOKE E. GUSTAFSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.