Individual
ELLEN M STANBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
404 MEMORIAL DRIVE EXT, GREER, SC 29651-1818
(864) 877-4442
Mailing address
6 SPYGLASS CT, GREENVILLE, SC 29609-6944
(864) 292-6028
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
69625
SC
Other
Enumeration date
02/06/2006
Last updated
07/01/2008
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