Individual ProviderAva Lynn GustafsonSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1450 Alta Vista St, Dubuque, IA 52001-4327(630) 946-3043PECOS EnrollmentBased on the most recent information from CMS, provider Ava Lynn Gustafson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1831055748Provider TypeIndividualFull NameGustafson, Ava LynnGenderFemaleSole ProprietorNoEnumeration Date1/5/2026Last Updated1/5/2026Contact InformationPractice LocationPractice Address1450 Alta Vista St, Dubuque, IA 52001-4327Phone(630) 946-3043FaxUnlisted FaxMailing LocationMailing Address307 Hill St Apt 5, Dubuque, IA 52001-6504PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2255A2300XPrimaryDescriptionSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer