Active NPIIndividual providerSole proprietor

Elive M Stanly

Nurse Practitioner, Psych/Mental Health in Washington, District of Columbia

NPI Number1730998782
Practice location
2703 Fort Baker Dr SE Apt 1, Washington, DC 20020-7274
Fax
443-513-2664
Last updated
September 3, 2026

Elive M Stanly is a Nurse Practitioner, Psych/Mental Health based in Washington, DC. Elive M Stanly practices in Washington, DC. The NPI Number for Elive M Stanly is 1730998782 and holds a License No. CN221201831 (DC). The current practice location address for Elive M Stanly is 2703 Fort Baker Dr SE Apt 1, Washington, DC 20020-7274 and can be reached out via phone at 240-244-4863 and via fax at 443-513-2664.

Provider Profile Details

NPI Number
1730998782
Provider Name
Elive M Stanly
Provider Entity Type
Individual
Gender
Male
Address
2703 Fort Baker Dr SE Apt 1, Washington, DC 20020-7274
Phone Number
240-244-4863
Fax Number
443-513-2664
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
January 4, 2025
Last Update Date
September 3, 2026
Certification Date
September 3, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2703 Fort Baker Dr SE Apt 1
Washington, DC 20020-7274
Zip
20020-7274
Phone Number
240-244-4863
Fax Number
443-513-2664
Washington, DC 20020Get directions →

Provider Business Mailing Address Details

Address
430 Warfield Dr Apt 1109
Hyattsville, MD 20785-4731
City
Hyattsville
State
MD
Zip
20785-4731
Phone Number
240-244-4863
Fax Number
443-513-2664

License Information

License Number (1)
CN221201831
License State (1)
DC
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
License Number (2)
328612
License State (2)
AZ
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (3)
RN2391911
License State (3)
MA
Taxonomy (3)
Nurse Practitioner, Psych/Mental Health · 363LP0808X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elive M Stanly?

The NPI number of Elive M Stanly is 1730998782. It was assigned on January 4, 2025 and is currently active in the NPPES registry.

What is the specialty of Elive M Stanly?

Elive M Stanly is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in DC under license number CN221201831.

Where does Elive M Stanly practice?

The practice location is 2703 Fort Baker Dr SE Apt 1, Washington, DC 20020-7274. The office can be reached at 240-244-4863 (phone) or 443-513-2664 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730998782 directly on the NPPES registry website.

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