Stanford, Carol H.

Stanford, Carol H. is an individual health care provider with primary practice located at 6151 W Olive Ave #5, Glendale AZ 85302-4547. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stanford, Carol H. can be contacted via phone (623) 939-8618.

Contact Information

Primary practice address
6151 W Olive Ave #5 Glendale AZ 85302-4547
Fax: (623) 939-9184
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN055546 Arizona

Profile Details

NPI number 1245296953
LBN Legal business name Stanford, Carol H.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Apr 23rd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245296953 NPPES
Arizona MEDICAID 132829

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