MEDICARE: BENJAMIN DANIEL STANLY NP

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	363LF0000X	Family Nurse Practitioner	211438	LA

General Provider Information

NPI Number	:	1831729870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENJAMIN DANIEL STANLY NP

Provider Business Mailing Address
First Line	:	2695 ROCKY MOUNTAIN AVE STE 150
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-9071
Country	:	US
Telephone Number	:	970-624-2420
Fax Number	:

Provider Business Practice Location Address
First Line	:	7049 PERKINS RD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-4320
Country	:	US
Telephone Number	:	225-706-3060
Fax Number	:

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

Provider Enumeration Date	:	01/17/2020
Last Update Date	:	04/22/2026

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