MEDICARE: YOLANDA STONER

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	172A00000X	Driver
2	172V00000X	Community Health Worker
3	332U00000X	Home Delivered Meals
4	347C00000X	Private Vehicle
5	374700000X	Technician
6	374U00000X	Home Health Aide
7	376J00000X	Homemaker
8	376K00000X	Nurse's Aide	1401070418	VA
9	385H00000X	Respite Care
10	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1093571325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOLANDA STONER

Provider Business Mailing Address
First Line	:	820 JOHNSON AVE
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23504-2720
Country	:	US
Telephone Number	:	757-277-3988
Fax Number	:

Provider Business Practice Location Address
First Line	:	820 JOHNSON AVE
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23504-2720
Country	:	US
Telephone Number	:	757-277-3988
Fax Number	:

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

Provider Enumeration Date	:	02/23/2024
Last Update Date	:	02/23/2024

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Directions to “ YOLANDA STONER ” Practice Location

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