Individual
MS. CHRISTIAN WILSON STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
JEFFERSON FACULTY PEDS AND DUPONT CHILDRENS HLTH PROG, 833 CHESTNUT STREET EAST SUITE 300, PHILADELPHIA, PA 19107-4413
(215) 955-7800
(215) 923-9383
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
UP005404N
PA
363LP0200X
Pediatric Nurse Practitioner
UP005404N
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0024449
—
NJ
05
—
4042875
—
MD
Enumeration date
11/02/2006
Last updated
01/23/2012
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