Provider Demographics
NPI:1043792807
Name:STONE, ERICA DEANNE (BSN, RNC-NIC)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:DEANNE
Last Name:STONE
Suffix:
Gender:F
Credentials:BSN, RNC-NIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2625 TURNING CREEK ST
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-4403
Mailing Address - Country:US
Mailing Address - Phone:254-760-0550
Mailing Address - Fax:
Practice Address - Street 1:2625 TURNING CREEK ST
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-4403
Practice Address - Country:US
Practice Address - Phone:254-760-0550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX811923163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health