MEDICARE: DENISE STONE RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse	28276996A	IN

General Provider Information

NPI Number	:	1154196533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE STONE RN

Provider Business Mailing Address
First Line	:	5234 SHEFFORD CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-3700
Country	:	US
Telephone Number	:	317-801-6699
Fax Number	:

Provider Business Practice Location Address
First Line	:	5234 SHEFFORD CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-3700
Country	:	US
Telephone Number	:	317-801-6699
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2023
Last Update Date	:	11/06/2024

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