Individual
MARY STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
740 S LIMESTONE STE B-219, LEXINGTON, KY 40536-0284
(859) 257-3533
(859) 257-6024
Mailing address
740 S LIMESTONE STE B-219, LEXINGTON, KY 40536-0284
(859) 257-3533
(859) 257-6024
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009582
KY
Other
Enumeration date
07/29/2015
Last updated
05/29/2019
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