MEDICARE: ROBERT STONE CRNA

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	367500000X	Certified Registered Nurse Anesthetist	034972-23-11	NH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	430052487	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831265362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT STONE CRNA

Provider Business Mailing Address
First Line	:	PO BOX 537
Second Line	:
City	:	INTERVALE
State	:	NH
Zip	:	03845-0537
Country	:	US
Telephone Number	:	603-356-7057
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 COTTAGE ST
Second Line	:	ANESTHESIA DEPARTMEN
City	:	LITTLETON
State	:	NH
Zip	:	03561-4101
Country	:	US
Telephone Number	:	603-444-0272
Fax Number	:

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

Provider Enumeration Date	:	11/27/2006
Last Update Date	:	10/16/2014

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Directions to “ ROBERT STONE CRNA” Practice Location

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