Healthcare Provider Details

I. General information

NPI: 1093810285
Provider Name (Legal Business Name): PATRICIA ANN STONE CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA ANN MARSHMENT RN

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 N FULTON ST
FRESNO CA
93728-3404
US

IV. Provider business mailing address

39199 OAK DR
OAKHURST CA
93644-9764
US

V. Phone/Fax

Practice location:
  • Phone: 559-488-4900
  • Fax: 559-488-4999
Mailing address:
  • Phone: 559-642-3334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberNMW 587
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: