IndividualActive
Amanda Gustafson
NPI 1700738341 · Licensed Practical Nurse · Minneapolis, MN
Provider details
- NPI number
- 1700738341
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 823202 (MN)
Mailing address
1 Veterans Dr
Minneapolis, MN 55417-2309
Registry dates
- Enumerated
- 2026-02-13
- Last updated
- 2026-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.