Individual
MELODY STANFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
201 PARK ST, BOWLING GREEN, KY 42101-1708
(270) 783-3357
(270) 780-0471
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1708
(270) 781-5111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1154204
KY
363L00000X
Nurse Practitioner
Primary
1154204
KY
363LF0000X
Family Nurse Practitioner
3015649
KY
Other
Enumeration date
12/21/2020
Last updated
11/15/2024
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