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NPI Code Detail

MEDICARE: ANGELA SIAN STANLEY MHRT/C

MEDICARE: ANGELA SIAN STANLEY MHRT/C
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
1171M00000XCase Manager/Care CoordinatorME

General Provider Information

NPI Number : 1558219964
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA SIAN STANLEY MHRT/C
Provider Business Mailing Address
First Line : 103 PARK ST
Second Line :
City : LEWISTON
State : ME
Zip : 04240-7203
Country : US
Telephone Number : 207-599-3712
Fax Number : 207-440-7922
Provider Business Practice Location Address
First Line : 103 PARK ST
Second Line :
City : LEWISTON
State : ME
Zip : 04240-7203
Country : US
Telephone Number : 207-740-5697
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/28/2026

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