Individual
MRS. KATIE ANN STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
830 S OTSEGO AVE, GAYLORD, MI 49735-1776
(888) 247-5701
Mailing address
4381 GEHRKE RD, OSSINEKE, MI 49766-8712
(989) 884-4266
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704283258
MI
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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