Individual
CHRISTEN FAITH STANDIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-1316
(912) 350-2156
Mailing address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-1316
(912) 350-2156
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN175956
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN175956
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003101427A
—
GA
01
—
01410460
AMERIGROUP
—
01
—
583507
WELLCARE
GA
05
—
NP1727
—
SC
01
—
P00933356
RR MEDICARE
GA
Enumeration date
10/07/2010
Last updated
01/18/2024
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