Stancel, Stephanie Tara

Stancel, Stephanie Tara is an individual health care provider with primary practice located at 3815 Harrison Rd , Loganville GA 30052-2462. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Stancel, Stephanie Tara can be contacted via phone (770) 466-6112.

Contact Information

Primary practice address
3815 Harrison Rd Loganville GA 30052-2462
Phone: (770) 466-6112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN169676 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN169676 Georgia

Profile Details

NPI number 1699086025
LBN Legal business name Stancel, Stephanie Tara
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2010
Last updated Mar 4th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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