Stanford, Kimberly Nicole

Stanford, Kimberly Nicole is an individual health care provider with primary practice located at 701 W North Ave Anesthesia Department, Melrose Park IL 60160-1612. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Stanford, Kimberly Nicole can be contacted via phone (708) 681-7859.

Contact Information

Primary practice address
701 W North Ave Anesthesia Department Melrose Park IL 60160-1612
Phone: (708) 681-7859
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 041347741 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209009397 Illinois

Profile Details

NPI number 1083991285
LBN Legal business name Stanford, Kimberly Nicole
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2011
Last updated Apr 20th, 2022 - about 4 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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