Individual
KATHERINE K STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6510 CAROLINE ST, MILTON, FL 32570-4778
(850) 983-8500
(850) 983-0010
Mailing address
PO BOX 10209, PENSACOLA, FL 32524-0209
(850) 476-4200
(866) 684-0566
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP1269722
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302160200
—
FL
01
—
Y6580
BSFL
FL
Enumeration date
12/16/2005
Last updated
12/11/2024
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