Individual
CAROL H. STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6151 W OLIVE AVE, #5, GLENDALE, AZ 85302-4547
(623) 939-8618
(623) 939-9184
Mailing address
8620 N 22ND AVE, 200, PHOENIX, AZ 85021-4251
(602) 674-6501
(602) 674-6512
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN055546
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132829
—
AZ
Enumeration date
04/21/2006
Last updated
04/23/2008
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