Individual provider · Type 1 NPI

Andrea Christine Stafford, CPNP-PC

Pediatric Nurse Practitioner · Indianapolis, IN

NPI number 1629258173 Active

Practice location

8040 Clearvista Pkwy, Ste 460
Indianapolis, IN 46256-5630

Fax (317) 621-1535

Mailing address

6626 E 75th St, Ste 500
Indianapolis, IN 46250-2805

Other practice locations

  • 11700 N Meridian St, Carmel, IN 46032-4656 · (317) 944-4681

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X71006135A (IN)
Pediatric Nurse Practitioner 363LP0200XRN185930 (GA)
Pediatric Nurse Practitioner Primary 363LP0200X71006135A (IN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1629258173

Andrea Christine Stafford, CPNP-PC's National Provider Identifier is 1629258173, issued on Nov 13, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Indianapolis, IN. The record was last updated on Nov 6, 2024.