Healthcare Provider Details

I. General information

NPI: 1902495252
Provider Name (Legal Business Name): NATASHA STANLEY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2021
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

338 COEBURN AVENUE SUITE 351
NORTON VA
24273
US

IV. Provider business mailing address

373 N INMAN ST
APPALACHIA VA
24216-2214
US

V. Phone/Fax

Practice location:
  • Phone: 276-870-4332
  • Fax:
Mailing address:
  • Phone: 276-870-4332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024180759
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: