Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | NP-00560 | OH |
NPI | 1003949785 |
---|---|
Provider Name | Ann Stone |
First Address | West Chester, OH 45069-2509 |
Second Address | West Chester, OH 45069-2509 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 07/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3014580 | (05) | OH |
S86912 | (02) | OH |