Individual
HOLLY Z STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6701 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4318
(505) 727-0600
(505) 727-9590
Mailing address
6701 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4318
(505) 727-0600
(505) 727-9590
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
78294
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29673780
—
NM
Enumeration date
01/14/2014
Last updated
10/03/2022
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