1255985412 NPI number — BRITTNEY MICHELE STANLEY FNP-C, RN

Table of content: BRITTNEY MICHELE STANLEY FNP-C, RN (NPI 1255985412)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255985412 NPI number — BRITTNEY MICHELE STANLEY FNP-C, RN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STANLEY
Provider First Name:
BRITTNEY
Provider Middle Name:
MICHELE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
FNP-C, RN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
STANLEY-PRICKETT
Provider Other First Name:
BRITTNEY
Provider Other Middle Name:
MICHELE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1255985412
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/02/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6730 N WEST AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRESNO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93711-4301
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
559-439-3000
Provider Business Mailing Address Fax Number:
559-439-3004

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6730 N WEST AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRESNO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93711-4301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-439-3000
Provider Business Practice Location Address Fax Number:
559-439-3004
Provider Enumeration Date:
07/26/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LP2300X , with the licence number:  95012306 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com