Provider Demographics
NPI:1255337085
Name:STAFFORD, DONALD JAMES (CRNA)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:JAMES
Last Name:STAFFORD
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
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Mailing Address - Street 1:PO BOX 4731
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71361-4731
Mailing Address - Country:US
Mailing Address - Phone:318-641-9483
Mailing Address - Fax:
Practice Address - Street 1:CABRINI HOSPITAL ANESTHESIA DEPT
Practice Address - Street 2:3330 MASONIC DRIVE
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301
Practice Address - Country:US
Practice Address - Phone:318-448-6790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2022-06-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARC01528367500000X
LAAP01558367500000X
TX665182367500000X
LA68582-1558367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered