Individual provider · Type 1 NPI

Chanta L. Stanley, NP-C

Nurse Practitioner · Berkley, MI

NPI number 1689075020 Active

Practice location

27901 Woodward Ave, 300
Berkley, MI 48072-0919

Fax (248) 545-4580

Mailing address

130 Town Center Dr, 203
Troy, MI 48084-1744

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X4704281365 (MI)
Nurse Practitioner Primary 363L00000X4704281365 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1689075020

Chanta L. Stanley, NP-C's National Provider Identifier is 1689075020, issued on Sep 4, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Berkley, MI. The record was last updated on Jan 19, 2016.