Individual
MS. PATRICIA KAY STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
215 HERITAGE CT, WALKERSVILLE, MD 21793-9159
(301) 845-0064
Mailing address
339 PINE GROVE RD, LONACONING, MD 21539-2143
(301) 471-6462
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R122920
MD
Other
Enumeration date
08/01/2013
Last updated
03/27/2019
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