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NPI Code Detail

MEDICARE: ANNE ELIZABETH STANLEY

MEDICARE: ANNE ELIZABETH 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
1163W00000XRegistered NurseRN.381387OH
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN.CNP.0029279OH

General Provider Information

NPI Number : 1578130779
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE ELIZABETH STANLEY
Provider Business Mailing Address
First Line : 3909 WOODLEY RD
Second Line :
City : TOLEDO
State : OH
Zip : 43606-1169
Country : US
Telephone Number : 419-725-3330
Fax Number :
Provider Business Practice Location Address
First Line : 800 COMMERCE DR
Second Line :
City : PERRYSBURG
State : OH
Zip : 43551-5256
Country : US
Telephone Number : 419-872-2419
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2021
Last Update Date : 06/03/2026

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Directions to “ ANNE ELIZABETH STANLEY ” Practice Location

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