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Individual

MRS. GABRIELA NICOLE STANLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN-PMHNP

Contact information

Practice address
3600 N PROW RD, BLOOMINGTON, IN 47404
(812) 331-8000
Mailing address
3600 N PROW RD, BLOOMINGTON, IN 47404
(812) 331-8000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28224340A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2021086257
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71012207A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300060532
IN
Enumeration date
04/02/2018
Last updated
10/28/2022
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