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NPI Code Detail

MEDICARE: MRS. SHIRLEY ANN STANLEY NURSE PRACTITIONER

MEDICARE: MRS. SHIRLEY ANN STANLEY NURSE PRACTITIONER
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
1282NW0100XWomen's Hospital432344CA
2363LX0001XObstetrics & Gynecology Nurse Practitioner432344CA

General Provider Information

NPI Number : 1376831875
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHIRLEY ANN STANLEY NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 26806 STONEGATE DR
Second Line :
City : VALENCIA
State : CA
Zip : 91381-0659
Country : US
Telephone Number : 661-714-1108
Fax Number : 661-255-0320
Provider Business Practice Location Address
First Line : 400 W 30TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90007-3320
Country : US
Telephone Number : 213-284-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2011
Last Update Date : 01/07/2014

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