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Individual
MERCY STANLEY
Active
Individual
MERCY STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP121749
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
318357601 (MDACC)
—
TX
01
—
885N22
BCBS (MDACC)
TX
Enumeration date
09/28/2012
Last updated
10/17/2024
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