Individual
MRS. BERTHA STAUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
700 SUNSET DRIVE SUITE 504, ATHENS, GA 30606
(706) 549-3943
(706) 549-4132
Mailing address
700 SUNSET DRIVE SUITE 504, ATHENS, GA 30606
(706) 549-3943
(706) 549-4132
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN169008NP
GA
363LF0000X
Family Nurse Practitioner
Primary
APN.1874 RX
SC
Other
Enumeration date
04/22/2008
Last updated
08/27/2013
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