Individual
EMILY ANN STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16479 DALLAS PKWY STE 320, ADDISON, TX 75001-6709
(469) 484-4260
Mailing address
16479 DALLAS PKWY STE 320, ADDISON, TX 75001-6709
(469) 484-4260
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP137976
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
751028
RN LICENSE
TX
01
—
AP137976
NURSE PRACTIITIONER
TX
Enumeration date
08/01/2018
Last updated
11/26/2021
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