Organization
STANLY MEDICAL SERVICES
Active
Organization
STANLY MEDICAL SERVICES
Active
Other names
Pfeiffer Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MARINDY BOST HARRIS (MANAGER REVENUE CYCLE)
(704) 983-7320
Entity
Organization
Contact information
Practice address
48380 US HWY 52 NORTH, MISENHEIMER, NC 28109-9800
(704) 463-3425
(704) 463-1361
Mailing address
320 YADKIN STREET, SUITE B, ALBEMARLE, NC 28001-3447
(704) 983-7320
(704) 983-6153
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
5001114
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025K5
BCBS
NC
05
—
5918551
—
NC
Enumeration date
09/01/2011
Last updated
07/17/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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