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NPI Code Detail

MEDICARE: KRISTEN MARIE STANSBURY FNP-C

MEDICARE:   KRISTEN MARIE STANSBURY  FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP142176TX

General Provider Information

NPI Number : 1508418427
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN MARIE STANSBURY FNP-C
Provider Business Mailing Address
First Line : 3600 GASTON AVE STE 656
Second Line :
City : DALLAS
State : TX
Zip : 75246-1906
Country : US
Telephone Number : 214-820-3466
Fax Number :
Provider Business Practice Location Address
First Line : 3600 GASTON AVE STE 656
Second Line :
City : DALLAS
State : TX
Zip : 75246-1906
Country : US
Telephone Number : 214-820-3466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2019
Last Update Date : 07/11/2019

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Directions to “ KRISTEN MARIE STANSBURY FNP-C” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.