MEDICARE: AMINA STONE

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	363LF0000X	Family Nurse Practitioner	95016966	CA

General Provider Information

NPI Number	:	1528645934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMINA STONE

Provider Business Mailing Address
First Line	:	8366 HIGH WINDS WAY
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92120-1749
Country	:	US
Telephone Number	:	224-325-0801
Fax Number	:

Provider Business Practice Location Address
First Line	:	8366 HIGH WINDS WAY
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92120-1749
Country	:	US
Telephone Number	:	224-325-0801
Fax Number	:

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

Provider Enumeration Date	:	03/24/2021
Last Update Date	:	03/24/2021

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Directions to “ AMINA STONE ” Practice Location

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