| Doctor Name: | SALLY D STANLEY |
| NPI Number: | 1164515912 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | A064481 |
| Business Practice Address: | 2742 45th St Clio, IA - 500528730 |
| Business Phone Number: | 6418762650 |
| Business Fax Number: | |
| Mailing Address: | 2742 45th St, CLIO |
| State: | IA |
| Postal Code: | 500528730 |
| Phone Number: | 6418762650 |
| Fax Number: | |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 11/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A064481 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |