Provider Demographics
NPI:1992237887
Name:STANLEY, WENDI (MSN, APN, NNP-BC)
Entity type:Individual
Prefix:MRS
First Name:WENDI
Middle Name:
Last Name:STANLEY
Suffix:
Gender:
Credentials:MSN, APN, NNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2830 CALDER ST
Mailing Address - Street 2:C/O NEONATAL ICU- NNP OFFICE
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-1809
Mailing Address - Country:US
Mailing Address - Phone:409-543-6840
Mailing Address - Fax:409-899-7363
Practice Address - Street 1:2830 CALDER ST
Practice Address - Street 2:C/O NEONATAL ICU- NNP OFFICE
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1809
Practice Address - Country:US
Practice Address - Phone:409-543-6840
Practice Address - Fax:409-899-7363
Is Sole Proprietor?:No
Enumeration Date:2017-03-30
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133695363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal