Provider Demographics
NPI:1285065946
Name:STANSELL, CHRISTOPHER ALAN (FNP)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ALAN
Last Name:STANSELL
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:CHRIS
Other - Middle Name:
Other - Last Name:STANSELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:1411 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ANDREWS
Mailing Address - State:TX
Mailing Address - Zip Code:79714-3696
Mailing Address - Country:US
Mailing Address - Phone:432-464-2586
Mailing Address - Fax:432-523-9013
Practice Address - Street 1:1411 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ANDREWS
Practice Address - State:TX
Practice Address - Zip Code:79714-3696
Practice Address - Country:US
Practice Address - Phone:432-464-2586
Practice Address - Fax:432-523-9013
Is Sole Proprietor?:No
Enumeration Date:2013-12-06
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX655651363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily