Individual
EMILIE WOLF STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS, CRNP
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6674
(207) 275-1082
(207) 275-8812
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-5000
(207) 973-8812
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
AC005337
MD
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
CNP221186
ME
Other
Enumeration date
03/24/2007
Last updated
03/19/2024
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