Individual
KATIE H STANBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1860 WATSON BLVD, WARNER ROBINS, GA 31093-3612
(478) 225-9001
(478) 225-9167
Mailing address
1860 WATSON BLVD, WARNER ROBINS, GA 31093-3612
(478) 225-9001
(478) 225-9167
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN246909
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN246909
NP LICENSURE NUMBER
GA
Enumeration date
07/20/2022
Last updated
07/20/2022
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