Provider Demographics
NPI:1578780631
Name:STANFORD, ALISON ELERI (FNP, RN)
Entity Type:Individual
Prefix:MS
First Name:ALISON
Middle Name:ELERI
Last Name:STANFORD
Suffix:
Gender:F
Credentials:FNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2309 EWIN DR
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86305-4047
Mailing Address - Country:US
Mailing Address - Phone:480-329-2611
Mailing Address - Fax:928-717-3275
Practice Address - Street 1:2309 EWIN DR
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86305-4047
Practice Address - Country:US
Practice Address - Phone:480-329-2611
Practice Address - Fax:928-717-3275
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN071969163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZRN071969OtherRN LICENSE