AMBER HARRIETT STANBACK


Address: 301 Riverview Ave, Suite 504, Norfolk, VA 23510-1065
Phone: 7572276866

AMBER HARRIETT STANBACK (NPI# 1447602198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447602198
Entity Type Individual
Full Name AMBER HARRIETT STANBACK
Credential NP
Practice Address 301 Riverview Ave
Suite 504
Norfolk
VA 23510-1065
Practice Telephone 7572276866
Practice Fax Number 7577431974
Mailing Telephone 7572276866
Mailing Fax Number 7577431974
Enumeration Date 2016-07-06
Last Update Date 2016-07-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
0024173521 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 301 RIVERVIEW AVE
SUITE 504
City NORFOLK
State VA
Zip Code 23510-1065

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477526853 Roque F Planas-galliano Internal Medicine 301 Riverview Ave, Ste 500, Norfolk, VA 23510-1065 2006-02-08
1164968947 Yvette Hunter Nurse Practitioner 301 Riverview Ave, Suite 500, Norfolk, VA 23510-1065 2017-01-17
1760939102 Audra Elizabeth Dimascio Nurse Practitioner 301 Riverview Ave, Suite 700, Norfolk, VA 23510-1065 2016-09-01
1821543257 Caprice D Carter Nurse Practitioner 301 Riverview Ave, Ste 500, Norfolk, VA 23510-1065 2016-08-15
1871948810 Amanda Brinkley Physician Assistant 301 Riverview Ave, Ste 202, Norfolk, VA 23510-1065 2016-04-27
1942665054 Sasha A Lee Nurse Practitioner 301 Riverview Ave, Ste 500, Norfolk, VA 23510-1065 2015-12-17
1609267053 Sentara Medical Group Internal Medicine 301 Riverview Ave, Ste 710, Norfolk, VA 23510-1065 2015-02-06
1043616741 Juanita Marie Norwood Nurse Practitioner 301 Riverview Ave, Ste 500, Norfolk, VA 23510-1065 2014-11-07
1740699735 Evms Academic Physicians and Surgeons Health Services Foundation Internal Medicine 301 Riverview Ave, Suite 670, Norfolk, VA 23510-1065 2014-08-05
1821358144 Sentara Medical Group Internal Medicine 301 Riverview Ave, Ste 700, Norfolk, VA 23510-1065 2012-05-21
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1457822744 Merideth Beck Pope Nurse Practitioner 9530 24th Bay St, Norfolk, VA 23518-1714 2018-12-11
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Competitor

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City NORFOLK
Zip Code 23510

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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