Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUDRA MARIE STANCE, BA, MPA
Active Sole ProprietorAUDRA MARIE STANCE, BA, MPA is a Emotionally Disturbed Children Residential Treatment healthcare provider located in PEORIA, Illinois. NPI 1023688850 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · PEORIA, IL
Registration Details
- NPI Number
- 1023688850
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 24, 2021 (5.1852804804292 yrs)
- Last Updated
- Jun 24, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
2310 W STARR STPEORIA, IL, 616053240Browse IL providers · Browse ZIP 61605
- Phone
- 5105639785
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.