Individual
ALEXANDRIA STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
150 SIMS DR, SYRACUSE, NY 13244-1729
(315) 443-8000
Mailing address
150 SIMS DR, SYRACUSE, NY 13244-4412
(315) 443-8000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024182245
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403800
NY
Other
Enumeration date
08/06/2021
Last updated
08/13/2024
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