Individual
ELIVE M STANLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2703 FORT BAKER DR SE APT 1, WASHINGTON, DC 20020-7274
(240) 244-4863
(443) 513-2664
Mailing address
101 ARBORETUM WAY, BURLINGTON, MA 01803-3827
(240) 244-4863
(443) 513-2664
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
966854
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
328612
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CN221201831
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2391911
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010192714
—
DC
05
—
110225709A
—
MA
Enumeration date
01/04/2025
Last updated
01/19/2026
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