Doctor Name: | MRS. HEATHER D STANLEY |
NPI Number: | 1093077430 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN-CNP |
License Number: | 96233 |
Business Practice Address: | 605 Sw 27th St El Reno, OK - 730365928 |
Business Phone Number: | 4052952200 |
Business Fax Number: | 4052952178 |
Mailing Address: | 605 Sw 27th St, EL RENO |
State: | OK |
Postal Code: | 730365928 |
Phone Number: | 4052952200 |
Fax Number: | 4052952178 |
NPI Enumeration Date: | 06/12/2012 |
NPI Last Update Date: | 01/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 96233 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |