MEDICARE: REGINA MAURICA STANLEY

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
1	376K00000X	Nurse's Aide	602650050523	OH

General Provider Information

NPI Number	:	1447118443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REGINA MAURICA STANLEY

Provider Business Mailing Address
First Line	:	2481 NOBLE RD APT F5
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44121-2153
Country	:	US
Telephone Number	:	216-392-3129
Fax Number	:

Provider Business Practice Location Address
First Line	:	2481 NOBLE RD APT F5
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44121-2153
Country	:	US
Telephone Number	:	216-392-3129
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2026
Last Update Date	:	01/10/2026

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Directions to “ REGINA MAURICA STANLEY ” Practice Location

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