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NPI Code Detail

MEDICARE: SCOTT ERIN STANFIELD

MEDICARE: SCOTT ERIN STANFIELD
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
1164W00000XLicensed Practical Nurse2004033996MO

General Provider Information

NPI Number : 1457321671
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT ERIN STANFIELD
Provider Business Mailing Address
First Line : 1650 COCHRANE CIR
Second Line : BOX #23
City : FT CARSON
State : CO
Zip : 80913-4603
Country : US
Telephone Number : 816-786-4158
Fax Number :
Provider Business Practice Location Address
First Line : 1650 COCHRANE CIR
Second Line : BOX #23
City : FT CARSON
State : CO
Zip : 80913-4603
Country : US
Telephone Number : 816-786-4158
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 07/08/2007

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