Individual
SHANA JOAN STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
401 E MILAM ST, MEXIA, TX 76667-2329
(254) 562-2500
Mailing address
PO BOX 47154, SAN ANTONIO, TX 78265-7154
(254) 237-5856
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1141085
TX
Other
Enumeration date
10/10/2023
Last updated
11/14/2023
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