Healthcare Provider Details

I. General information

NPI: 1154350775
Provider Name (Legal Business Name): ANNA-LISA BEATRICE STONEHILL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 05/03/2023
Certification Date: 05/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2719 N AIR FRESNO DR
FRESNO CA
93727-1547
US

IV. Provider business mailing address

5006 W EVELYN DR
TAMPA FL
33609-3602
US

V. Phone/Fax

Practice location:
  • Phone: 559-455-4633
  • Fax:
Mailing address:
  • Phone: 949-751-9494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberG51073
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: