Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0100X | Health Service | 3234 | TN |
NPI | 1275678203 |
---|---|
Provider Name | Caitlin Elizabeth Stone |
First Address | Nashville, TN 37215-2304 |
Second Address | Nashville, TN 37232-2612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2007 |
Last Update Date | 15/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6107444 | (05) | NC |