Individual
EDITH STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
100 ROCKFORD DR, NEWARK, DE 19713-2121
(302) 996-5480
Mailing address
34 SPRING WAY, CAMDEN WYOMING, DE 19934-4224
(302) 257-9420
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
L8-0010307
DE
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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