Individual
SHIRLEY A STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 N PERSON ST, #106, RALEIGH, NC 27604-1277
(205) 307-9200
Mailing address
720 N PERSON ST, #106, RALEIGH, NC 27604-1277
(205) 307-9200
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1024857
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000073806
—
AL
01
—
430017465
RR MEDICARE
AL
01
—
430063126
RR MEDICARE
AL
05
—
APPROVED 07/13/2011;
—
NC
Enumeration date
08/09/2006
Last updated
09/05/2011
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