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NPI Code Detail

MEDICARE: ANGELA STANLEY APRN, BC

MEDICARE:   ANGELA  STANLEY  APRN, BC
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 Practitioner0024166576VA

General Provider Information

NPI Number : 1720067309
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA STANLEY APRN, BC
Provider Business Mailing Address
First Line : USNH OKINAWA
Second Line : PSC 482 BOX 232
City : FPO
State : AP
Zip : 96362
Country : JP
Telephone Number : 011816117437415
Fax Number :
Provider Business Practice Location Address
First Line : USNH OKINAWA
Second Line : PSC 482 BOX 232
City : FPO
State : AP
Zip : 96362
Country : JP
Telephone Number : 011816117437415
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2006
Last Update Date : 07/08/2007

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Directions to “ ANGELA STANLEY APRN, BC” Practice Location

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