Individual
HOLLY JUNE STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, ARNP
Contact information
Practice address
1700 NW GILMAN BLVD STE 205, ISSAQUAH, WA 98027-5364
(562) 587-3577
Mailing address
468 FRONT ST N, ISSAQUAH, WA 98027-2914
(562) 587-3577
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP60755721
WA
Other
Enumeration date
05/18/2017
Last updated
05/18/2017
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