Healthcare Provider Details

I. General information

NPI: 1063276970
Provider Name (Legal Business Name): ALEXA TAYLOR STANLEY MSN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXA TERRELL

II. Dates (important events)

Enumeration Date: 02/12/2024
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2196 E WILLIAMS FIELD RD STE 116
GILBERT AZ
85295-0755
US

IV. Provider business mailing address

1 EMBARCADERO CTR STE 1900
SAN FRANCISCO CA
94111-3723
US

V. Phone/Fax

Practice location:
  • Phone: 888-663-6331
  • Fax: 415-252-7176
Mailing address:
  • Phone: 415-658-6791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number218513
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number218513
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: