Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wallace Ann Gustafson, MAP, MA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972212959

Wallace Ann Gustafson, MAP, MA is a Student in an Organized Health Care Education/Training Program in Hartford, Connecticut. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

331 Wethersfield Ave
Hartford, CT 06114-1420
Phone: (860) 236-4511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1972212959
Entity typeIndividual (Type 1)
GenderFemale
Credentials MAP , MA
Sole proprietorNo
NPI enumeratedNovember 18, 2022
Last updated in NPPESNovember 18, 2022
Certification dateNovember 18, 2022

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