Provider Demographics
NPI:1477831006
Name:STANLEY, MARGARET B (CNM)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:B
Last Name:STANLEY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:CHASE
Other - Last Name:STANLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CNM
Mailing Address - Street 1:310 N L ROGERS WELLS BLVD
Mailing Address - Street 2:
Mailing Address - City:GLASGOW
Mailing Address - State:KY
Mailing Address - Zip Code:42141-1300
Mailing Address - Country:US
Mailing Address - Phone:270-659-5885
Mailing Address - Fax:270-659-5852
Practice Address - Street 1:310 N L ROGERS WELLS BLVD
Practice Address - Street 2:
Practice Address - City:GLASGOW
Practice Address - State:KY
Practice Address - Zip Code:42141-1300
Practice Address - Country:US
Practice Address - Phone:270-659-5885
Practice Address - Fax:270-659-5852
Is Sole Proprietor?:No
Enumeration Date:2011-08-01
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25ME00068900176B00000X
KY3006851176B00000X, 363LW0102X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100219900Medicaid
KYK011175Medicare PIN
KYK011174Medicare PIN
KYK011176Medicare PIN
KYK011172Medicare PIN
KYK011171Medicare PIN
KYK011173Medicare PIN
KYK011177Medicare PIN