Tricia L Stanley, NURSE PRACTITIONER
Individual provider Active NPI Nurse Practitioner · Crawfordsville, IN
NPI 1376578435 · NPPES record last updated Sep 8, 2022
Key facts
- NPI
- 1376578435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 71000752 (IN)
- Practice address
- 1615 US Hwy 231 S
Suite a
Crawfordsville, IN 47933-4603 - Phone
- (765) 323-4689
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71000752 | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Medical Group, Inc | Past |
Accepting new patients | |
| Proactive Mso, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71000752 | IN | Yes |
Addresses
Primary practice location
1615 US Hwy 231 S
Suite a
Crawfordsville, IN 47933-4603
Mailing address
1615 US Hwy 231 S
Suite a
Crawfordsville, IN 47933-4603
Phone (765) 323-4689
Other providers in Crawfordsville, IN
- St Clare Medical Center
- St. Clare Medical Center
- St. Clare Medical Center
- St. Vincent Medical Group, Inc.
- Brandon Joseph Stafford
- Statewide Transfer Ambulance and Rescue, Inc.
- Candy Steffan
- Stephen W. Rasmussen, DDS, PC
- Jamie Nicole Stephenson
- Dan L Stewart
All providers in Crawfordsville, IN · Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.