Provider Demographics
NPI:1467437434
Name:STONEMAN, DENISE LYNN (RN MSN CPNP)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:LYNN
Last Name:STONEMAN
Suffix:
Gender:F
Credentials:RN MSN CPNP
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:LYNN
Other - Last Name:PROTANCHIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:1 PERKINS SQ
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1063
Mailing Address - Country:US
Mailing Address - Phone:330-746-8040
Mailing Address - Fax:330-746-8025
Practice Address - Street 1:6505 MARKET ST STE 2100
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-3457
Practice Address - Country:US
Practice Address - Phone:330-746-8040
Practice Address - Fax:330-746-8025
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.02254-NP363L00000X
OHNP02254363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2043676Medicaid