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NPI Code Detail

MEDICARE: BRANDON STAFFORD CRNA

MEDICARE: BRANDON STAFFORD CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistAPRN.CRNA.0021515OH
2163W00000XRegistered Nurse483608OH

General Provider Information

NPI Number : 1154259331
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDON STAFFORD CRNA
Provider Business Mailing Address
First Line : 5151 REED RD STE 225C
Second Line :
City : COLUMBUS
State : OH
Zip : 43220-2553
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3535 OLENTANGY RIVER RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-3908
Country : US
Telephone Number : 614-884-0641
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2026
Last Update Date : 05/18/2026

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Directions to “ BRANDON STAFFORD CRNA” Practice Location

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