Healthcare Provider Details

I. General information

NPI: 1730434507
Provider Name (Legal Business Name): BARBARA JEAN STONE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2012
Last Update Date: 07/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2586 7TH AVE E STE 302
NORTH ST PAUL MN
55109-3090
US

IV. Provider business mailing address

2737 HAZELWOOD ST
MAPLEWOOD MN
55109-1158
US

V. Phone/Fax

Practice location:
  • Phone: 651-633-7300
  • Fax:
Mailing address:
  • Phone: 651-770-0948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberA430029700
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1982702932
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: