IndividualActive
Bethany Stafford
NPI 1750837969 · Acute Care Nurse Practitioner · Waterloo, IA
Provider details
- NPI number
- 1750837969
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- H-121407 (IA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1825 Logan Ave
Suite 201
Waterloo, IA 50703-1916
Phone: (319) 235-3838
Fax: (319) 235-5272
Approximate (ZIP-level) locationGet directions
Mailing address
1825 Logan Ave
Waterloo, IA 50703-1916
Registry dates
- Enumerated
- 2016-08-28
- Last updated
- 2025-07-16
- Certified
- 2025-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.