Provider Demographics
NPI:1245406321
Name:STONER, SARA-LYNN (RN)
Entity Type:Individual
Prefix:MRS
First Name:SARA-LYNN
Middle Name:
Last Name:STONER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13410 SAN RAFAEL DR
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33774-4635
Mailing Address - Country:US
Mailing Address - Phone:727-686-8665
Mailing Address - Fax:
Practice Address - Street 1:13410 SAN RAFAEL DR
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33774-4635
Practice Address - Country:US
Practice Address - Phone:727-686-8665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-07
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2527132222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL811493500Medicaid