Healthcare Provider Details

I. General information

NPI: 1164823753
Provider Name (Legal Business Name): CHRISTINA MICHELLE STONE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2014
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12302 VETERANS MEMORIAL HWY STE 4
REEDSVILLE WV
26547-6501
US

IV. Provider business mailing address

150 MEMORIAL DR
KINGWOOD WV
26537-1141
US

V. Phone/Fax

Practice location:
  • Phone: 304-980-2006
  • Fax:
Mailing address:
  • Phone: 304-329-1400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN71222FNPBC
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: