Individual
CHARMIAN M. STANFORD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
5192 BAYOU BLVD, PENSACOLA, FL 32503-2102
(850) 484-5040
(850) 475-5527
Mailing address
5192 BAYOU BLVD, PENSACOLA, FL 32503-2102
(850) 484-5040
(850) 475-5527
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN1854632
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN1854632
NURSING LICENSE
FL
Enumeration date
05/24/2006
Last updated
07/08/2007
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