Stanley, Katherine K
Stanley, Katherine K is an individual health care provider with primary practice located at 1900 Summit Blvd , Pensacola FL 32503-3359. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Stanley, Katherine K can be contacted via phone (850) 436-5900.Contact Information
Primary practice address
1900 Summit Blvd
Pensacola FL 32503-3359
Phone: (850) 436-5900
Fax: (850) 436-5959
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | ARNP1269722 | Florida |
Profile Details
NPI number | 1093791550 |
---|---|
LBN Legal business name | Stanley, Katherine K |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 16th, 2005 |
Last updated | Jan 5th, 2014 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093791550 | NPPES |
Florida | MEDICAID | 302160200 | |
Florida | Other | Y6580 |
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