Provider Demographics
NPI:1053311423
Name:STONE, MARIANNE TERISA (CNM)
Entity Type:Individual
Prefix:MS
First Name:MARIANNE
Middle Name:TERISA
Last Name:STONE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:MS
Other - First Name:MARIANNE
Other - Middle Name:TERISA
Other - Last Name:STONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CNM
Mailing Address - Street 1:1720 DIAMOND HILL RD
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-5505
Mailing Address - Country:US
Mailing Address - Phone:401-334-4296
Mailing Address - Fax:
Practice Address - Street 1:100 CHURCH ST S
Practice Address - Street 2:POB 9740
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1703
Practice Address - Country:US
Practice Address - Phone:203-785-2555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife