Patricia Kay Stafford, CRNP
Nurse Practitioner in Walkersville, MD. Individual provider (NPI-1).
NPI number1124450176
StatusActive
Last updated in NPPESMar 27, 2019
Details
- NPI
- 1124450176
- Entity type
- Individual (NPI-1)
- Name
- Ms. Patricia Kay Stafford
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 1, 2013
- Last updated
- Mar 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | R122920 | MD | Yes |
Practice location
215 Heritage CtWalkersville, MD 21793-9159
Phone 301-845-0064
Mailing address
339 Pine Grove RdLonaconing, MD 21539-2143
Phone 301-471-6462
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