Individual
SERENA STANSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
5950 SARATOGA BLVD, CORPUS CHRISTI, TX 78414-4100
(361) 985-5811
Mailing address
9205 LAMPLIGHTER TRL, FORT WORTH, TX 76244-7699
(214) 436-6098
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP136468
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
AP136468
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14369220
DL #
TX
Enumeration date
07/13/2018
Last updated
07/13/2018
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