Stanley, Vonda T

Stanley, Vonda T is an individual health care provider with primary practice located at 514 W Atlantic St , South Hill VA 23970-1906. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stanley, Vonda T can be contacted via phone (434) 447-6969.

Contact Information

Primary practice address
514 W Atlantic St South Hill VA 23970-1906
Phone: (434) 447-6969
Fax: (434) 447-2240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024116223 Virginia

Profile Details

NPI number 1982609475
LBN Legal business name Stanley, Vonda T
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Mar 25th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982609475 NPPES
Virginia Other 7000902 NC MEDICAID
Virginia Other 010105030 NC MEDICAID
Virginia Other P00255169 NC MEDICAID
Virginia MEDICAID 010004900 NC MEDICAID
Virginia Other 010004900 NC MEDICAID
Virginia MEDICAID 010259541 NC MEDICAID
Virginia MEDICAID 010105030 NC MEDICAID
Virginia Other 187681 NC MEDICAID

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