Individual
AMY IRENE STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
22 BRAMHALL ST BLDG ROOM1147, PORTLAND, ME 04102-3175
(207) 662-6773
Mailing address
72 MUNJOY ST APT 1, PORTLAND, ME 04101-2096
(206) 579-1025
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
CNS204003
ME
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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