Individual
DEBORAH RAPP STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
825 FAIRFAX AVE, SUITE 310, NORFOLK, VA 23507-1914
(757) 446-7900
(757) 446-8907
Mailing address
PO BOX 936, EVMS HEALTH SERVICES, NORFOLK, VA 23501-0936
(757) 446-7900
(757) 446-8907
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
0017000017
VA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
0024066204
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10099579N
OPTIMA HEALTH
VA
01
—
1912031014
TRICARE/CHAMPUS
VA
05
—
1912031014
—
VA
05
—
7006400
—
NC
01
—
PAR
MULTIPLAN
VA
Enumeration date
03/14/2007
Last updated
02/13/2013
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