ANNA GUSTAFSON


Address: 8675 Valley Creek Rd, Woodbury, MN 55125-2337
Phone: 6512413000

ANNA GUSTAFSON (NPI# 1558890707) 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) 1558890707
Entity Type Individual
Full Name ANNA GUSTAFSON
Credential FNP-C
Practice Address 8675 Valley Creek Rd
Woodbury
MN 55125-2337
Mailing Address 20600 Rush Meadow Ln
Rogers
MN 55374-9718
Practice Telephone 6512413000
Mailing Telephone (612) 437-2427
Enumeration Date 2017-06-09
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R1771736 MN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
303 Catlin St, Buffalo, MN 553131947 7636825225

Office Location

Street Address 8675 VALLEY CREEK RD
City WOODBURY
State MN
Zip Code 55125-2337

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053301036 Eunice Lee Physician Assistant 8675 Valley Creek Rd, Woodbury, MN 55125-2337 2005-10-21
1881292878 Jacob Webber Dietitian, Registered 8675 Valley Creek Rd, Woodbury, MN 55125-2337 2020-10-13
1669088688 Allina Health System Clinic/Center 8675 Valley Creek Rd, Woodbury, MN 55125-2337 2020-09-16
1891310280 Abubakar Aweis Sufi Sheikh Spec/Tech, Pathology 8675 Valley Creek Rd, Woodbury, MN 55125-2337 2020-06-11
1114571783 Monica Luu Nurse Practitioner 8675 Valley Creek Rd, Woodbury, MN 55125-2337 2019-07-31
1467956870 Katherine Elizabeth Nick Social Worker 8675 Valley Creek Rd, Woodbury, MN 55125-2337 2018-03-20
1194236372 Sheryl Ann Cotton Social Worker 8675 Valley Creek Rd, Woodbury, MN 55125-2337 2017-10-16
1679099816 Roberta Lynn Snead Nurse Practitioner 8675 Valley Creek Rd, Woodbury, MN 55125-2337 2017-08-18
1497279756 Allina Health System General Practice 8675 Valley Creek Rd, Woodbury, MN 55125-2337 2017-07-28
1497204192 Katherine Ann Kluver Physician Assistant 8675 Valley Creek Rd, Woodbury, MN 55125-2337 2016-09-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487268728 Haley Kirkpatrick Behavior Technician 721 Commerce Dr., Woodbury, MN 55125 2020-09-03
1689218091 Jordan Schmidt Student in an Organized Health Care Education/Training Program 1740 Welr Dr. #24, Woodbury, MN 55125 2019-10-30
1629619580 Mackenzie Ann Funke Occupational Therapist 721 Commerce Drivve, Woodbury, MN 55125 2019-10-02
1700342029 Darcy Stivland Counselor 1811 Weir Drive #270, Woodbury, MN 55125 2019-02-11
1235609884 Elizabeth Kennedy Ward Psychologist 7582 Currell Blvd Suite 208, Woodbury, MN 55125 2018-11-27
1528573664 Cory Lee Baumeister Counselor 652 Bielenberg Dr, Woodbury, MN 55125 2017-12-12
1760918239 David James Knight Dentist 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 2017-05-03
1366988826 Mark Your Home Health Care LLC Home Health 6053 Hudson Road, Suite 200, Woodbury, MN 55125 2017-01-09
1518415736 Kubei Holdings Group LLC Case Management 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 2016-09-16
1285087072 Adrian Jung Occupational Therapist 155 Radio Drive, Woodbury, MN 55125 2016-07-18
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851913255 Shrena H Travis Nurse Practitioner 126 Lester St, Woodbury, TN 37190-1416 2020-05-08
1407401466 Linda Lor Nurse Practitioner 1795 Radio Dr Ste D, Woodbury, MN 55125-9457 2019-08-07
1518429273 Jennifer L Ergang Nurse Practitioner 3405 Hartford Rd, Woodbury, MN 55125-3734 2019-04-02
1629536651 Shamim A Lalani Nurse Practitioner 9 Sparrow Ln, Woodbury, NY 11797-3206 2019-03-08
1336595800 Brian Joseph Portanova Nurse Practitioner 45 Euclid St Ste 200, Woodbury, NJ 08096-4631 2016-05-13
1184070591 Grace Oghenekaro Oyefesobi Nurse Practitioner 8468 Tamarack Village, Cvs Minute Clinic, Woodbury, MN 55125 2016-05-04
1770844110 Community Wellness Clinic Inc. Nurse Practitioner 322 S Mccrary St, Woodbury, TN 37190-1441 2012-06-01
1003112277 Tabitha M Smith Nurse Practitioner 89 Mears Drive, Woodbury, TN 37190-1441 2011-02-04
1023240041 Heidi Lee Brown Nurse Practitioner 7650 Currell Blvd Ste 330, Woodbury, MN 55125-8209 2009-08-11
1144273061 Paula Todd Nurse Practitioner 530 W Adams St, Woodbury, TN 37190-1622 2006-05-19
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Competitor

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City WOODBURY
Zip Code 55125

Improve Information

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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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