Provider Demographics
NPI:1932088010
Name:STANLEY, PARKER
Entity type:Individual
Prefix:
First Name:PARKER
Middle Name:
Last Name:STANLEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2509 SOLANA PL UNIT 305
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-6013
Mailing Address - Country:US
Mailing Address - Phone:317-965-0641
Mailing Address - Fax:
Practice Address - Street 1:2509 SOLANA PL UNIT 305
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-6013
Practice Address - Country:US
Practice Address - Phone:317-965-0641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program