BETHANY STAFFORD

WATERLOO, IA
NPI1750837969
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner Acute Care
(Licence: IA  H-121407)
Enumeration Date2016-08-28
Last Update Date2016-09-07
Business Address
BETHANY STAFFORD
1825 LOGAN AVE SUITE 201
WATERLOO, IA 50703-1916
Phone number: 319-235-3838
Mailing Address
BETHANY STAFFORD
1825 LOGAN AVE SUITE 201
WATERLOO, IA 50703-1916
Phone number: 319-235-3838
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