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Individual

KARI ANNETTE STANFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5200 NE 2ND AVE FL 3, MIAMI, FL 33137-2706
(305) 762-3883
Mailing address
6400 SHAFER CT STE 700, ROSEMONT, IL 60018-4989
(847) 692-1000

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP9376426
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016726300
FL
01
P01629498
RR MEDICARE
FL
Enumeration date
01/12/2016
Last updated
10/08/2020
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