Healthcare Provider Details

I. General information

NPI: 1598912206
Provider Name (Legal Business Name): ROBIN DIANE STONE RN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2008
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12513 BRIGHTON AVE
CLEVELAND OH
44111-4535
US

IV. Provider business mailing address

710 WOODALL RD
STOCKBRIDGE GA
30281-1970
US

V. Phone/Fax

Practice location:
  • Phone: 216-903-3105
  • Fax:
Mailing address:
  • Phone: 216-903-3105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number326820
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.019426
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number28380
License Number StateSC
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN289179
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: