Provider Demographics
NPI:1497255152
Name:STONE, AMANDA RANAY (RN)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:RANAY
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 1:3028 MISTY RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-6817
Mailing Address - Country:US
Mailing Address - Phone:903-283-2767
Mailing Address - Fax:
Practice Address - Street 1:500 E 4TH ST STE 125
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76102-4011
Practice Address - Country:US
Practice Address - Phone:888-973-8158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-19
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7711375163WH0200X
TX771375163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health