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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MACKENZIE JAMES STANLEY, NURSE PRACTITIONER

Active Sole Proprietor

MR. MACKENZIE JAMES STANLEY, NURSE PRACTITIONER is a Family Nurse Practitioner healthcare provider located in NEWARK, New York. NPI 1790463495 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · NEWARK, NY

Registration Details

NPI Number
1790463495
Provider Type
Individual
Gender
Male
NPI Issued
Jul 11, 2023 (3.0627692702739 yrs)
Last Updated
Jul 11, 2023
License
F352011 (NY)
Sole Proprietor
Yes

Practice Information

Address
1200 DRIVING PARK AVE
NEWARK, NY, 145131090
Browse NY providers · Browse ZIP 14513
Phone
3153322022
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in NEWARK, NY

Name Credential NPI
DR. WADE JASON BRANDT CNP 1629070297
LYNN BRAZEE FNP 1720004328
BEVERLY J PROVO GNPC 1215096482
MRS. ERICA LYNN LEGAN FNP-C 1821487364
JEFFREY HARFORD FNP 1609228279
DAMAR TITSY-ANN MCINTYRE FNP 1134694334
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.