Individual
TRACI M STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1118 ROSS CLARK CIR STE 303, DOTHAN, AL 36301-3034
(334) 794-3192
(877) 553-0033
Mailing address
1118 ROSS CLARK CIR STE 303, DOTHAN, AL 36301-3034
(334) 794-3192
(877) 553-0033
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-122428
AL
Other
Enumeration date
01/29/2020
Last updated
12/04/2024
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