Healthcare Provider Details

I. General information

NPI: 1871141895
Provider Name (Legal Business Name): BARBARA ELIZABETH STANLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2019
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2029 OKEECHOBEE BLVD STE 1
WEST PALM BEACH FL
33409-4105
US

IV. Provider business mailing address

1073 LAKE CLARKE DR
WEST PALM BEACH FL
33406-5326
US

V. Phone/Fax

Practice location:
  • Phone: 561-914-5625
  • Fax: 561-831-4547
Mailing address:
  • Phone: 561-914-5625
  • Fax: 561-831-4547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11003780
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: