Martavia Stanford, LABORATORYDIRECTOR
Martavia Stanford, LABORATORYDIRECTOR is a Pastoral Counselor in Brookfield, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2022.
- Licensed in
- WI
- In the registry since
- 2022
- Specialties on file
- 5
Practice location Address checks out
120 Bishops Way Ste 165Brookfield, WI 53005-6249
Phone: (414) 355-5525
Fax: (414) 240-4595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Laboratory Director (Non-physician) (primary) | Taxonomy 247ZC0005X · Licence 52D2261520 (WI) |
|---|---|
| Pastoral Counselor | Taxonomy 101YP1600X |
| Adult Companion | Taxonomy 372600000X |
| Home Health Aide | Taxonomy 374U00000X |
| Homemaker | Taxonomy 376J00000X |
Record details
| NPI number | 1548985930 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LABORATORYDIRECTOR |
| Sole proprietor | No |
| NPI enumerated | October 7, 2022 |
| Last updated in NPPES | October 7, 2022 |
| Certification date | October 7, 2022 |