person
Lisa R Stanley, NP
Family Nurse Practitioner in Fort Wayne, Indiana
NPI 1033155726

Lisa R Stanley is a Family Nurse Practitioner based in Fort Wayne, IN and is specialized in Family. Lisa R Stanley practices in Fort Wayne, IN and has the professional credentials of NP. The NPI Number for Lisa R Stanley is 1033155726 and holds a License No. 71001366 (Indiana).

The current practice location address for Lisa R Stanley is 5001 Us Highway 30 W Ste D, Fort Wayne, IN and can be reached out via phone at 260-432-1568 and via fax at 260-432-4969.

Location: 5001 Us Highway 30 W Ste D, Fort Wayne, IN, 46804-2233
person
Provider Profile Details
NPI Number
1033155726
Provider Name
Lisa R Stanley
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
5001 Us Highway 30 W Ste D, Fort Wayne, IN, 46804-2233
Phone Number
260-432-1568
Fax Number
260-432-4969
Provider Enumeration Date
06/21/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
200387770 05 IN
institution
Provider Business Practice Location Address Details
Address
5001 Us Highway 30 W Ste D
City
State
Zip
46818-9701
Phone Number
260-432-1568
Fax Number
260-432-4969
person
Provider Business Mailing Address Details
Address
5001 Us Highway 30 W Ste D
City
State
Zip
46818-9701
Phone Number
260-432-1568
Fax Number
260-432-4969
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71001366 (Indiana)
Definition
Definition to come...
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