Individual provider · Type 1 NPI

Bethany Stafford

Acute Care Nurse Practitioner · Waterloo, IA

NPI number 1750837969 Active

Practice location

1825 Logan Ave, Suite 201
Waterloo, IA 50703-1916

Fax (319) 235-5272

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XH-121407 (IA)
Acute Care Nurse Practitioner Primary 363LA2100XH-121407 (IA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1750837969

Bethany Stafford's National Provider Identifier is 1750837969, issued on Aug 28, 2016. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Waterloo, IA. The record was last updated on Jul 16, 2025.