Individual
BRENDA J STAUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-3108
(216) 445-6532
Mailing address
PO BOX 74216, CLEVELAND, OH 44194-0002
(440) 879-0081
(440) 879-0084
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-06737
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000325969
ANTHEM
OH
05
—
2519402
—
OH
Enumeration date
01/24/2007
Last updated
10/30/2015
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