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General NPI Number Information
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NPI Number | 1306072590
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Entity Type | Individual
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Provider Name | ANNA M. STONE PHD, ARNP
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Gender | Female
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Dates
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Enumeration Date | 06/02/2009
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Last Update Date | 06/02/2009
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Provider Practice Location Address
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Address Line | 2010 CHEROKEE PKWY SUITE 2
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City | LOUISVILLE
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State | KY
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Zip | 40204-2254
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Country | US
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Telephone | 502-931-5958
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Fax | 866-450-9771
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Provider Business Mailing Address
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Address Line | 2133 WOODFORD PL
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City | LOUISVILLE
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State | KY
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Zip | 40205-1913
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Country | US
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Telephone | 502-931-5958
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Fax | 866-450-9771
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5385P
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License Number State | KY
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