Individual
STEPHANIE DENISE MEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4700 MUELLER BRASS RD, COVINGTON, TN 38019-3754
(907) 476-0235
Mailing address
4700 MUELLER BRASS RD, COVINGTON, TN 38019-3754
(907) 476-0235
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000169487
TN
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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