Provider Demographics
NPI:1912031014
Name:STANLEY, DEBORAH RAPP (NP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:RAPP
Last Name:STANLEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 936
Mailing Address - Street 2:EVMS HEALTH SERVICES
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-446-7900
Mailing Address - Fax:757-446-8907
Practice Address - Street 1:825 FAIRFAX AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1914
Practice Address - Country:US
Practice Address - Phone:757-446-7900
Practice Address - Fax:757-446-8907
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024066204363LX0001X
VA0017000017363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7006400Medicaid
VAPAROtherMULTIPLAN
VA1912031014OtherTRICARE/CHAMPUS
VAPAROtherUSA MANAGED CARE
VA10099579NOtherOPTIMA HEALTH
VA1912031014Medicaid
VA1912031014OtherVIRGINIA PREMIER HEALTH PLAN
VAPAROtherCORVEL
VA1912031014OtherVIRGINIA PREMIER HEALTH PLAN