Stanton, Maureen
Stanton, Maureen is an individual health care provider with primary practice located at 33 39Th Street , Gulfport MS 39507. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Stanton, Maureen can be contacted via phone (228) 861-0176.Contact Information
Primary practice address
33 39Th Street
Gulfport MS 39507
Phone: (228) 861-0176
Fax: (228) 831-4495
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R564265 | Mississippi |
Profile Details
| NPI number | 1639220205 |
|---|---|
| LBN Legal business name | Stanton, Maureen |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jun 25th, 2009 - about 15 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 | 1639220205 | NPPES |
| Mississippi | MEDICAID | 08634798 |
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