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NPI Code Detail

MEDICARE: ERIN ELIZABETH STAFFORD PRSS BHWC

MEDICARE:   ERIN ELIZABETH STAFFORD  PRSS BHWC
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
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1386481562
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN ELIZABETH STAFFORD PRSS BHWC
Provider Business Mailing Address
First Line : 1222 10TH ST
Second Line :
City : WOODWARD
State : OK
Zip : 73801-3156
Country : US
Telephone Number : 580-256-8615
Fax Number :
Provider Business Practice Location Address
First Line : 1222 10TH ST
Second Line :
City : WOODWARD
State : OK
Zip : 73801-3156
Country : US
Telephone Number : 918-576-4448
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2024
Last Update Date : 01/05/2026

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Directions to “ ERIN ELIZABETH STAFFORD PRSS BHWC” Practice Location

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