Individual
MAIJA BAMFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
590 NEWARK GRANVILLE RD, GRANVILLE, OH 43023-1436
(888) 531-7444
(740) 888-1374
Mailing address
212E ELM ST, GRANVILLE, OH 43023-1404
(614) 204-2322
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.12745-NP
OH
Other
Enumeration date
03/07/2012
Last updated
09/23/2015
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