Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife |
NPI | 1053311423 |
---|---|
Provider Name | Ms. Marianne Terisa Stone |
First Address | Cumberland, RI 02864-5505 |
Second Address | New Haven, CT 06519-1703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 26/03/2013 |