Individual
MS. ELEANOR IRENE STANFORD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
271 BLAIR MILL ROAD, WILLOW GROVE, PA 19090
(215) 443-8505
(215) 957-0565
Mailing address
204 GARFIELD RD, KING OF PRUSSIA, PA 19406-2402
(610) 265-9305
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1460602
PA
Other
Enumeration date
06/01/2005
Last updated
07/08/2007
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