Doctor Name: | REBECCA STONE |
NPI Number: | 1003901075 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | NP-08874 |
Business Practice Address: | 630 W Main St Suite 307 Wilmington, OH - 451772170 |
Business Phone Number: | 9373831588 |
Business Fax Number: | |
Mailing Address: | 630 W Main St, Suite 307 WILMINGTON |
State: | OH |
Postal Code: | 451772170 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 07/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NP-08874 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |