Healthcare Provider Details

I. General information

NPI: 1043562150
Provider Name (Legal Business Name): MARIAN J. STOKES APRN, FNP-BC,ACNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2012
Last Update Date: 11/03/2020
Certification Date: 11/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9900 BREN ROAD EAST MAIL ROUTE MN 008-B213
MINNETONKA MN
55343
US

IV. Provider business mailing address

9900 BREN ROAD EAST MAIL ROUTE MN 008-B213
MINNETONKA MN
55343
US

V. Phone/Fax

Practice location:
  • Phone: 803-275-1355
  • Fax:
Mailing address:
  • Phone: 843-758-0993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11008459
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number257951
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA160595
License Number StateIA
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number61628
License Number StateNM
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1014964
License Number StateTX
# 6
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberTEMP249104
License Number StateAZ
# 7
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number17967
License Number StateSC
# 8
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number17967
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: