Individual
ELLEN PATTON STANAWAY
Active
Individual
ELLEN PATTON STANAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
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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