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NPI Code Detail

MEDICARE: RYAN LEE STANLEY CPC

MEDICARE: RYAN LEE STANLEY CPC
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
1101YP2500XProfessional CounselorCP5777NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508447368
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN LEE STANLEY CPC
Provider Business Mailing Address
First Line : 56 E SERENE AVE UNIT 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-3741
Country : US
Telephone Number : 702-355-9699
Fax Number : 702-355-9699
Provider Business Practice Location Address
First Line : 1820 E WARM SPRINGS RD STE 140
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-4593
Country : US
Telephone Number : 702-779-3956
Fax Number : 702-779-3957
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2021
Last Update Date : 08/13/2025

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Directions to “ RYAN LEE STANLEY CPC” Practice Location

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