Stanley, Trevor

Stanley, Trevor is an individual health care provider with primary practice located at 4619 Kanawha Ave Sw , South Charleston WV 25309-1319. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as his primary health care specialty. Stanley, Trevor can be contacted via phone (304) 400-4545.

Contact Information

Primary practice address
4619 Kanawha Ave Sw South Charleston WV 25309-1319
Fax: (304) 400-4546
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 106397 West Virginia

Profile Details

NPI number 1417886953
LBN Legal business name Stanley, Trevor
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2026
Last updated May 19th, 2026 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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