Healthcare Provider Details

I. General information

NPI: 1225580483
Provider Name (Legal Business Name): CAROLYN G STONE N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAROLYN G STONE NP

II. Dates (important events)

Enumeration Date: 11/03/2016
Last Update Date: 10/23/2023
Certification Date: 10/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10095 WARD RD
DUNKIRK MD
20754-2731
US

IV. Provider business mailing address

10095 WARD RD
DUNKIRK MD
20754-2731
US

V. Phone/Fax

Practice location:
  • Phone: 401-770-6466
  • Fax:
Mailing address:
  • Phone: 401-770-6466
  • Fax: 401-652-9787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN1006788
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR181055
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: