IndividualActive
Dean Gustafson
NPI 1982347159 · Community Health Worker · Fairbanks, AK
Provider details
- NPI number
- 1982347159
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
1825 Marika Rd
Fairbanks, AK 99709-5521
Phone: (907) 474-0890
Fax: (907) 474-3621
Approximate (ZIP-level) locationGet directions
Mailing address
1825 Marika Rd
Fairbanks, AK 99709-5521
Registry dates
- Enumerated
- 2022-04-15
- Last updated
- 2022-04-15
- Certified
- 2022-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.