Individual
MRS. SHELLY STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1252 S AVONDALE BLVD, AVONDALE, AZ 85323-8900
(623) 478-5710
Mailing address
1252 S AVONDALE BLVD, AVONDALE, AZ 85323-8900
(623) 478-5710
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN133571
AZ
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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