Individual
AUDREY STEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
2035 RALPH AVE STE A8, BROOKLYN, NY 11234-5300
(646) 631-9103
(347) 352-3238
Mailing address
966 E 102ND ST, BROOKLYN, NY 11236-2620
(646) 631-9103
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
303562
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04359606
—
NY
Enumeration date
04/04/2007
Last updated
02/09/2024
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