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Tracie Lane Stafford, RN
Emergency Registered Nurse in Kayenta, Arizona
NPI 1588272751

Tracie Lane Stafford is a Emergency Registered Nurse based in Kayenta, AZ and is specialized in Emergency. Tracie Lane Stafford practices in Kayenta, AZ and has the professional credentials of RN. The NPI Number for Tracie Lane Stafford is 1588272751 and holds a License No. R82687 (Arizona).

The current practice location address for Tracie Lane Stafford is Hwy 160 Mp 394.3, Kayenta, AZ and can be reached out via phone at 928-697-4100.

Location: Hwy 160 Mp 394.3, Kayenta, AZ, 86033-0368
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588272751
Provider Name
Tracie Lane Stafford
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
Hwy 160 Mp 394.3, Kayenta, AZ, 86033-0368
Phone Number
928-697-4100
Fax Number
Provider Enumeration Date
07/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Hwy 160 Mp 394.3
City
Kayenta
State
Arizona
Zip
86033-0368
Phone Number
928-697-4100
Fax Number
person
Provider Business Mailing Address Details
Address
Hwy 160 Mp 394.3
City
Kayenta
State
Arizona
Zip
86033-0368
Phone Number
928-697-4100
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
163WE0003X
License No.
R82687 (Arkansas)
Definition
Definition to come...
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