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Individual

ELIZABETH STANLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP PMHNP

Contact information

Practice address
9808 VENICE BLVD STE 700, CULVER CITY, CA 90232
(310) 945-3350
Mailing address
9808 VENICE BLVD STE 700, CULVER CITY, CA 90232-6824

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
95069578
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95010188
CA

Other

Enumeration date
12/10/2015
Last updated
05/13/2019
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