Individual
MRS. MICHELLE ANNE STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
20925 PROFESSIONAL PLZ STE 230, ASHBURN, VA 20147-3403
(703) 621-7121
Mailing address
20925 PROFESSIONAL PLZ STE 230, ASHBURN, VA 20147-3403
(703) 621-7121
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024180260
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
107515
WV
Other
Enumeration date
11/03/2020
Last updated
12/12/2021
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