Provider Demographics
NPI:1477803419
Name:STONE, JULIE MARIE (CNP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:MARIE
Last Name:STONE
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 MUNROE FALLS AVE
Mailing Address - Street 2:
Mailing Address - City:MUNROE FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44262-1538
Mailing Address - Country:US
Mailing Address - Phone:330-595-9983
Mailing Address - Fax:
Practice Address - Street 1:36 MUNROE FALLS AVE
Practice Address - Street 2:
Practice Address - City:MUNROE FALLS
Practice Address - State:OH
Practice Address - Zip Code:44262-1538
Practice Address - Country:US
Practice Address - Phone:330-595-9983
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-18
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.13860-NP363L00000X
OHAPRN.CNP.13860363LA2200X
OHCOA-13860-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0083223Medicaid
OH0083223Medicaid