Individual provider · Type 1 NPI
Pamela Stanis, PNP
Pediatric Nurse Practitioner · Bronx, NY
NPI number
1851463236
Active
Practice location
1400 Pelham Pkwy S, Jacobi Medical Center Ped Er Follow Up BLDG6 RM1D-03
Bronx, NY 10461-1138
Mailing address
93 Walnut St
Teaneck, NJ 07666-3930
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | F381296 (NY) |
| Pediatric Nurse Practitioner | 363LP0200X | 26NN05927600 (NJ) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1851463236
Pamela Stanis, PNP's National Provider Identifier is 1851463236, issued on Nov 14, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Bronx, NY. The record was last updated on Jul 8, 2007.