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NPI Code Detail

MEDICARE: MS. REBECCA JANE STAFFORD C.R.N.A.

MEDICARE: MS. REBECCA JANE STAFFORD C.R.N.A.
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 AnesthetistARNP-1503412FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528017274
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. REBECCA JANE STAFFORD C.R.N.A.
Provider Business Mailing Address
First Line : 5208 QUARRYSTONE LN
Second Line :
City : TAMPA
State : FL
Zip : 33624-2506
Country : US
Telephone Number : 813-598-2345
Fax Number : 813-962-1332
Provider Business Practice Location Address
First Line : 5208 QUARRYSTONE LN
Second Line :
City : TAMPA
State : FL
Zip : 33624-2506
Country : US
Telephone Number : 813-598-2345
Fax Number : 813-962-1332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 07/27/2011

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