Provider Demographics
NPI:1770948077
Name:STANFIELD, AMY LEA (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:LEA
Last Name:STANFIELD
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1034 SANDY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24540-7562
Mailing Address - Country:US
Mailing Address - Phone:434-203-2129
Mailing Address - Fax:
Practice Address - Street 1:1034 SANDY CREEK RD
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540-7562
Practice Address - Country:US
Practice Address - Phone:434-203-2129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-31
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024173224363LF0000X
VA0001187826163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse