MEDICARE: MRS. HANNAH RAE STONE MSN, RN, CPNP-PC

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	363LP0200X	Pediatric Nurse Practitioner	850712	NV

General Provider Information

NPI Number	:	1730860909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HANNAH RAE STONE MSN, RN, CPNP-PC

Provider Business Mailing Address
First Line	:	10845 GRIFFITH PEAK DR STE 200A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-1553
Country	:	US
Telephone Number	:	725-275-8016
Fax Number	:

Provider Business Practice Location Address
First Line	:	10845 GRIFFITH PEAK DR STE 200A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-1553
Country	:	US
Telephone Number	:	725-275-8016
Fax Number	:

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

Provider Enumeration Date	:	07/28/2023
Last Update Date	:	04/25/2025

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