MEDICARE: MEGAN 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	363L00000X	Nurse Practitioner	9025	MN

General Provider Information

NPI Number	:	1942940861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN STONER

Provider Business Mailing Address
First Line	:	7717 EDGEBROOK DR
Second Line	:
City	:	ST LOUIS PARK
State	:	MN
Zip	:	55426-4317
Country	:	US
Telephone Number	:	612-251-7173
Fax Number	:

Provider Business Practice Location Address
First Line	:	7717 EDGEBROOK DR
Second Line	:
City	:	ST LOUIS PARK
State	:	MN
Zip	:	55426-4317
Country	:	US
Telephone Number	:	612-251-7173
Fax Number	:

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

Provider Enumeration Date	:	03/30/2022
Last Update Date	:	03/30/2022

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Directions to “ MEGAN STONER ” Practice Location

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