Individual
ANITA STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 CUMBERLAND BND, NASHVILLE, TN 37228-1805
(615) 739-6629
Mailing address
3735 CENTRAL AVE, NASHVILLE, TN 37205-2433
(615) 739-6629
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN0000035871
TN
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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