Individual
CAITLYN MARIE STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5722 CABIN CREEK RD, DAWES, WV 25054-7700
(304) 595-5006
(304) 595-5007
Mailing address
104 ALEX LN, CHARLESTON, WV 25304-2952
(304) 734-2040
(304) 734-2047
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
122433
WV
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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