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Individual

ELLEN PATTON STANAWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
2150 LIMESTONE PKWY STE 222, GAINESVILLE, GA 30501-2567
(770) 219-9179
Mailing address
2150 LIMESTONE PKWY STE 222, GAINESVILLE, GA 30501-2567

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
18064
SC
363LF0000X
Family Nurse Practitioner
NP175464
GA
363LF0000X
Family Nurse Practitioner
Primary
RN175464
GA
363LF0000X
Family Nurse Practitioner
RN2315654
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP2194
SC
Enumeration date
11/15/2012
Last updated
03/28/2023
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