Individual
MRS. ELIZABETH MARIE STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4501 EMPIRE CT, FREDERICKSBURG, VA 22408-1949
(540) 371-0079
(540) 656-2653
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(855) 963-2100
(813) 321-1296
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110004959
VA
363AM0700X
Medical Physician Assistant
Primary
MA056594
PA
Other
Enumeration date
12/19/2013
Last updated
02/23/2026
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