IndividualActive
Andrea Stanley, RT (R)(M)
NPI 1639792633 · Registered Nurse · Jbphh, HI
Provider details
- NPI number
- 1639792633
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RT (R)(M)
- Sex
- Female
- Sole proprietor
- No
- License
- 463602 (NV)
Specialties & taxonomies
Nursing Service Providers
Practice location
480 Central Ave
Jbphh, HI 96860-4908
Phone: (808) 473-1880
Approximate (ZIP-level) locationGet directions
Mailing address
5716 Bullhead St
North Las Vegas, NV 89031-4240
Registry dates
- Enumerated
- 2020-05-26
- Last updated
- 2020-05-26
- Certified
- 2020-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.