William B Stanford, NP-BC | |
1235 8th St, Las Vegas, NM 87701-4219 | |
(303) 668-2258 | |
Not Available |
Full Name | William B Stanford |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 1235 8th St, Las Vegas, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932436698 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | NP-10153 (Colorado) | Secondary |
363L00000X | Nurse Practitioner | CNP-02430 (New Mexico) | Primary |
Entity Name | Columbine Management Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386989200 PECOS PAC ID: 7315020674 Enrollment ID: O20130502000442 |
Entity Name | Front Range Geriatric Medicine Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194261362 PECOS PAC ID: 4981988649 Enrollment ID: O20170327000116 |
Mailing Address | Practice Location Address |
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William B Stanford, NP-BC 1235 8th St, Las Vegas, NM 87701-4219 Ph: (303) 668-2258 | William B Stanford, NP-BC 1235 8th St, Las Vegas, NM 87701-4219 Ph: (303) 668-2258 |
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Dr. Michael M Archuleta, DNP, AGACNP-BC, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 611 National Ave, Las Vegas, NM 87701 Phone: 055-426-0700 Fax: 505-426-0702 | |
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