TREVOR STANLEY NP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Critical Care Medicine
Provider Information
- NPI Number
1417886953- Provider Type
- Individual Provider (NPI-1)
- Credentials
- NP
- Status
- Active
Contact & Location
- Address
- 4619 KANAWHA AVE SW, SOUTH CHARLESTON, WV, 253091319
- Phone
- (304) 400-4545
- Fax
- (304) 400-4546
Specialties & Taxonomies
Nurse Practitioner, Critical Care Medicine
Primary License: WV #106397