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Individual

MELISSA STANLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
F.N.P.

Contact information

Practice address
1356 RIVER RD, CHARLOTTESVILLE, VA 22901
(434) 980-6412
(434) 980-6413
Mailing address
1356 RIVER RD, CHARLOTTESVILLE, VA 22901
(434) 980-6412
(434) 980-6413

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024169907
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C06778
GROUP PTAN
VA
Enumeration date
02/28/2012
Last updated
05/30/2019
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