ANNE GUSTAVSON


Address: 5500 W Brown Deer Rd Ste 400, Milwaukee, WI 53223-2265
Phone: 4143554300

ANNE GUSTAVSON (NPI# 1548785785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548785785
Entity Type Individual
Full Name ANNE GUSTAVSON
Credential PA-C
Practice Address 5500 W Brown Deer Rd Ste 400
Milwaukee
WI 53223-2265
Mailing Address 625 W Freshwater Way Apt 410
Milwaukee
WI 53204-4214
Practice Telephone 4143554300
Practice Fax Number 4143554608
Mailing Telephone 9206392663
Enumeration Date 2017-08-09
Last Update Date 2017-08-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 4151-23 WI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5500 W BROWN DEER RD STE 400
City MILWAUKEE
State WI
Zip Code 53223-2265

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235742206 Jamie Brown Home Health Aide 8200 W. Clovernook Street, Milwaukee, WI 53223 2020-08-28
1730725656 Lekecia Ferguson Case Manager/Care Coordinator 7970 W Glendbrook Rd, Milwaukee, WI 53223 2019-11-26
1457994717 Talitha Cumi Specialist 6239 West Boehlke Avenue, Tiana M. Jenkins, Mlwaukee, WI 53223 2019-10-18
1235627498 Letitia Dotson Licensed Practical Nurse 9395 N 49th St, Apt 201, Brown Deer, WI 53223 2018-04-24
1588176002 Courtney Erin Tomaszewski Occupational Therapy Assistant 7300 W. Dean Rd, Milwaukee, WI 53223 2017-10-25
1972051373 Sam's East, Inc. Technician/Technologist 8100 N 124th Street, Milwaukee, WI 53223 2016-09-14
1346671302 Atlantic Home Health Care, Inc Home Health 5600 West Brown Deer Road, #216, Brown Deer, WI 53223 2013-12-02
1720415938 Bell Therapy, Inc. Community Based Residential Treatment Facility, Mental Illness 7229-7231 W. Brentwood Ave., Milwaukee, WI 53223 2013-10-02
1528405701 Ground Support Logistics LLC Driver 8200 W Browndeer Rd, Milwaukee, WI 53223 2013-05-29
1801136288 Nicole M. Rintelman Registered Nurse 4600 W. Schroeder Drive, Rogers Memorial Hospital, Brown Deer, WI 53223 2013-02-22
Find all providers in zip 53223

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386257194 Harrison R Pham Physician Assistant 214 E Florida St Apt 526, Milwaukee, WI 53204-1657 2020-08-31
1942824602 Rebecca Frances Hasler Physician Assistant 2368 N Humboldt Blvd, Milwaukee, WI 53212-3524 2020-05-28
1194355784 Ashley Bishop Henning Physician Assistant 2350 N Lake Dr Ste 404, Milwaukee, WI 53211-4528 2020-01-22
1902457575 Kathryn Kasper Physician Assistant 2408 N Buffum St, Milwaukee, WI 53212-2902 2019-09-25
1972151314 Kelly J Meyer Physician Assistant 2900 W Oklahoma Ave Ste 414, Milwaukee, WI 53215-4330 2019-08-28
1659923795 Mikayla Preissner Physician Assistant 788 N Jefferson St Ste 401, Milwaukee, WI 53202-3718 2019-07-09
1245892124 Emily Mason Physician Assistant 2901 W Kk River Pkwy Ste 507, Milwaukee, WI 53215-3660 2019-07-01
1124513528 Kirby Kristine Hancock Physician Assistant 2350 N Lake Dr Ste 302, Milwaukee, WI 53211-4528 2018-06-27
1205359973 Christina Marie Rende Physician Assistant 2350 N Lake Dr Ste 206, Milwaukee, WI 53211-4528 2017-07-24
1194191650 David J Leannais Physician Assistant 945 N 12th St Ste 1200, Milwaukee, WI 53233-1305 2015-08-18
Find all providers in MILWAUKEE

Competitor

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City MILWAUKEE
Zip Code 53223

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Dataset Information

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.

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