Individual
CHANTA L. STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
27901 WOODWARD AVE, 300, BERKLEY, MI 48072-0919
(248) 545-0070
(248) 545-4580
Mailing address
130 TOWN CENTER DR, 203, TROY, MI 48084-1744
(248) 585-8265
(248) 585-8266
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704281365
MI
363L00000X
Nurse Practitioner
Primary
4704281365
MI
Other
Enumeration date
09/04/2014
Last updated
01/19/2016
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