Individual
MS. LAURA STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
300 N COMMERCIAL ST, NEENAH, WI 54956-2619
(920) 886-0818
Mailing address
300 N COMMERCIAL ST, NEENAH, WI 54956-2619
(920) 886-0818
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10188-33
WI
363LA2100X
Acute Care Nurse Practitioner
Primary
10188-33
WI
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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