Provider Demographics
NPI:1417188467
Name:STANLEY, WILLIAM HENRY JR (RN)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:HENRY
Last Name:STANLEY
Suffix:JR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5727 WESTPARK DR
Mailing Address - Street 2:200
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28217-3551
Mailing Address - Country:US
Mailing Address - Phone:704-446-5066
Mailing Address - Fax:
Practice Address - Street 1:5727 WESTPARK DR
Practice Address - Street 2:200
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28217-3551
Practice Address - Country:US
Practice Address - Phone:704-446-5966
Practice Address - Fax:704-523-4921
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC153700163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse