Individual
ELISE D STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Mailing address
244 N SERENITY HILL CIR, CHAPEL HILL, NC 27516-0463
(203) 565-6980
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5013882
NC
Other
Enumeration date
12/21/2020
Last updated
12/31/2020
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