Healthcare Provider Details

I. General information

NPI: 1881511665
Provider Name (Legal Business Name): PAULINE YSABEL ANDAN STONE PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26442 SAND CANYON RD
SANTA CLARITA CA
91387-4021
US

IV. Provider business mailing address

16654 SOLEDAD CANYON RD # 137
SANTA CLARITA CA
91387-3217
US

V. Phone/Fax

Practice location:
  • Phone: 213-284-8011
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95039877
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: