Individual provider · Type 1 NPI
Judith Ann Stanley, APNP, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Rice Lake, WI
NPI number
1093484412
Active
Practice location
1215 West Knapp St
Rice Lake, WI 54868
Fax (715) 236-1831
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 2021051348 (WI) |
| Nurse Practitioner | 363L00000X | 11475 (WI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 11475-33 (WI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1093484412
Judith Ann Stanley, APNP, PMHNP-BC's National Provider Identifier is 1093484412, issued on Sep 9, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Rice Lake, WI. The record was last updated on May 9, 2025.