Provider Demographics
NPI:1437804994
Name:STONE-MELLO, CHRISTIAN RENI (NNP)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:RENI
Last Name:STONE-MELLO
Suffix:
Gender:F
Credentials:NNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20501 LACEY BLVD
Mailing Address - Street 2:
Mailing Address - City:LEMOORE
Mailing Address - State:CA
Mailing Address - Zip Code:93245-9648
Mailing Address - Country:US
Mailing Address - Phone:559-816-2440
Mailing Address - Fax:
Practice Address - Street 1:215 N FRESNO ST STE 370
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93701-2304
Practice Address - Country:US
Practice Address - Phone:559-459-4549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-14
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95019918363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal