Healthcare Provider Details

I. General information

NPI: 1932457645
Provider Name (Legal Business Name): DAVID G STANO JR. CRNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2012
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 PEACHTREE ST -DAVIS FISCHER BUILDING, OFFICE 3245A EMORY CENTER FOR CRITICAL CARE
ATLANTA GA
30308
US

IV. Provider business mailing address

1320 ARNOLD AVE NE
ATLANTA GA
30324-4620
US

V. Phone/Fax

Practice location:
  • Phone: 404-686-7858
  • Fax: 404-686-7841
Mailing address:
  • Phone: 205-529-3189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1113691
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberRN231619
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: