Stanley Fomban, APRN
NPI 1639890908 · Family Nurse Practitioner · Riverview, FL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1639890908
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- License
- APRN11021138 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 2349 Indian Key DrHoliday, FL 34691-7812Phone: (727) 452-8897
- 4211 Van Dyke Rd Ste 200Lutz, FL 33558-8005Phone: (813) 321-6237Fax: (813) 463-1801
Registry dates
- Enumerated
- 2022-09-06
- Last updated
- 2024-08-04
- Certified
- 2024-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.