Individual
TRINETTE STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2020 ALEXANDER DR, DOTHAN, AL 36301-3004
(334) 673-4166
(334) 673-4170
Mailing address
2450 COUNTY ROAD 40, ABBEVILLE, AL 36310-3018
(334) 585-5967
(334) 673-4170
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-075043
AL
Other
Enumeration date
07/07/2006
Last updated
03/31/2010
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