Doctor Name: | SHARON D STONE |
NPI Number: | 1134201353 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 14657 |
Business Practice Address: | 905 Spring St Placerville, CA - 956674511 |
Business Phone Number: | 5306268300 |
Business Fax Number: | 5306267617 |
Mailing Address: | 905 Spring St, PLACERVILLE |
State: | CA |
Postal Code: | 956674511 |
Phone Number: | 5306268300 |
Fax Number: | 5306267617 |
NPI Enumeration Date: | 10/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 14657 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |