Provider Demographics
NPI:1225279011
Name:DADE-STONE, NANCY S (LPN)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:S
Last Name:DADE-STONE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 N WALTON DR
Mailing Address - Street 2:
Mailing Address - City:WHITEWATER
Mailing Address - State:WI
Mailing Address - Zip Code:53190-2601
Mailing Address - Country:US
Mailing Address - Phone:262-473-7917
Mailing Address - Fax:
Practice Address - Street 1:519 N WALTON DR
Practice Address - Street 2:
Practice Address - City:WHITEWATER
Practice Address - State:WI
Practice Address - Zip Code:53190-2601
Practice Address - Country:US
Practice Address - Phone:262-473-7917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-09
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI305173-031164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse