SHANNON RANAE STAFFORD

COUNCIL BLUFFS, IA
NPI1063542884
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: IA  F-091658)
Enumeration Date2007-03-07
Last Update Date2007-07-08
Business Address
-- SHANNON RANAE STAFFORD ARNP
1604 2ND AVE
COUNCIL BLUFFS, IA 51501-3801
Phone number: 712-322-6650
Mailing Address
-- SHANNON RANAE STAFFORD ARNP
2512 THALLAS ST
COUNCIL BLUFFS, IA 51503-8600
Phone number: 712-325-9977
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