Individual
KATEY ANN STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
411 3RD ST, MONETT, MO 65708-2008
(417) 476-1000
(417) 943-5693
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704379403
MI
Other
Enumeration date
05/20/2019
Last updated
06/17/2025
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