Individual
SAVANNAH STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(440) 368-6868
(440) 368-6866
Mailing address
1018 JESSICA DR, BARDSTOWN, KY 40004-7928
(502) 507-9091
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012490
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14280852
CAQH
—
Enumeration date
07/06/2018
Last updated
04/09/2024
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