| NPI | 1386636603 |
|---|---|
| Former Name | TERESA BRADBERRY STANFILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201909625NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60856983) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R200127) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP231210) | |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2024-01-03 |