Provider Demographics
NPI:1477103810
Name:STONE, CHRISTINA M (RN)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:STONE
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 1:123 PROFESSIONAL PARK DR STE 101
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-5516
Mailing Address - Country:US
Mailing Address - Phone:704-799-0202
Mailing Address - Fax:980-273-1898
Practice Address - Street 1:123 PROFESSIONAL PARK DR STE 101
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-5516
Practice Address - Country:US
Practice Address - Phone:704-799-0202
Practice Address - Fax:980-273-1898
Is Sole Proprietor?:No
Enumeration Date:2019-09-18
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC156548163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)