Stanford, Stacy Ann Marie

Stanford, Stacy Ann Marie is an individual health care provider with primary practice located at 13535 Nemours Pkwy , Orlando FL 32827-7402. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Stanford, Stacy Ann Marie can be contacted via phone (407) 567-4000.

Contact Information

Primary practice address
13535 Nemours Pkwy Orlando FL 32827-7402
Phone: (407) 567-4000
Fax: (407) 567-5924
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 9173549 Florida
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X APRN9173549 Florida

Profile Details

NPI number 1598105801
LBN Legal business name Stanford, Stacy Ann Marie
Credentials ARNP, NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2013
Last updated May 30th, 2019 - about 7 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 1598105801 NPPES
Florida MEDICAID 020541100

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