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SUSAN STEPHANIE GUSTAFSON LPN
NPI 1205214350
Licensed Practical Nurse in Forest Lake, MN

Active since May 09, 2015
7951 250TH ST, FOREST LAKE, MN 55025(651) 231-2048 Get Directions Write a Review

NPPES record last updated: May 9, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Susan Stephanie Gustafson Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN STEPHANIE GUSTAFSON LPN (NPI 1205214350) is an individual licensed practical nurse in Forest Lake, Minnesota, licensed in Minnesota (L71970-2) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1205214350
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSUSAN STEPHANIE GUSTAFSONCredential: LPN
Location Address7951 250TH STForest Lake, MN 55025-8370
Mailing Address7951 250th StForest Lake, MN 55025-8370 · (651) 231-2048
Phone(651) 231-2048
Sole ProprietorYes
Enumeration DateMay 9, 2015
✔ NPI 1205214350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MN · L71970-2
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
7951 250TH ST, Forest Lake, MN 55025
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Gustafson's NPI number?

The NPI number for Susan Gustafson is 1205214350. It was assigned to this individual provider in the NPPES registry on May 9, 2015.

Where is Susan Gustafson located?

Susan Gustafson practices at 7951 250th St, Forest Lake, MN 55025. The listed phone number is (651) 231-2048.

What is Susan Gustafson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Susan Gustafson was last updated on May 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.