Provider Demographics
NPI:1568831006
Name:STANFIELD, SULA (RN)
Entity Type:Individual
Prefix:
First Name:SULA
Middle Name:
Last Name:STANFIELD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SULA
Other - Middle Name:
Other - Last Name:DUNKLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:7902 ADAGIO AVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-2596
Mailing Address - Country:US
Mailing Address - Phone:832-508-9574
Mailing Address - Fax:
Practice Address - Street 1:7902 ADAGIO AVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-2596
Practice Address - Country:US
Practice Address - Phone:832-508-9574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-15
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX762777163WH0500X, 163WN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0300XNursing Service ProvidersRegistered NurseNephrology
No163WH0500XNursing Service ProvidersRegistered NurseHemodialysis