Provider Demographics
NPI:1275972317
Name:STONEKING, THOMAS PRESLEY (ANP)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:PRESLEY
Last Name:STONEKING
Suffix:
Gender:M
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9843 N 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-2419
Mailing Address - Country:US
Mailing Address - Phone:602-373-7916
Mailing Address - Fax:
Practice Address - Street 1:13640 N. 99TH AVE, STE 400
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351
Practice Address - Country:US
Practice Address - Phone:623-249-2100
Practice Address - Fax:623-476-7305
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-21
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP4997363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health