Individual
MICHAELA STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2121 N LOCUST AVE, SUITE 1, LAWRENCEBURG, TN 38464-4454
(931) 762-5988
(931) 762-3389
Mailing address
2121 N LOCUST AVE, SUITE 1, LAWRENCEBURG, TN 38464-4454
(931) 762-5988
(931) 762-3389
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
21837
TN
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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