MEDICARE: ANNE STONE RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WS0200X	School Registered Nurse	RN128846	AZ

General Provider Information

NPI Number	:	1063740611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE STONE RN

Provider Business Mailing Address
First Line	:	9331 E SERPENTINE LN
Second Line	:
City	:	PRESCOTT VALLEY
State	:	AZ
Zip	:	86314-7564
Country	:	US
Telephone Number	:	928-775-0531
Fax Number	:

Provider Business Practice Location Address
First Line	:	9331 E SERPENTINE LN
Second Line	:
City	:	PRESCOTT VALLEY
State	:	AZ
Zip	:	86314-7564
Country	:	US
Telephone Number	:	928-775-0531
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2009
Last Update Date	:	11/19/2009

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Directions to “ ANNE STONE RN” Practice Location

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