Provider Demographics
NPI:1528400470
Name:STONE, JOSEPHINE ANN (RN CPNP)
Entity Type:Individual
Prefix:MS
First Name:JOSEPHINE
Middle Name:ANN
Last Name:STONE
Suffix:
Gender:F
Credentials:RN CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14249 S MURDOCH PEAK DR
Mailing Address - Street 2:
Mailing Address - City:HERRIMAN
Mailing Address - State:UT
Mailing Address - Zip Code:84096-1858
Mailing Address - Country:US
Mailing Address - Phone:801-254-9038
Mailing Address - Fax:
Practice Address - Street 1:14249 S MURDOCH PEAK DR
Practice Address - Street 2:
Practice Address - City:HERRIMAN
Practice Address - State:UT
Practice Address - Zip Code:84096-1858
Practice Address - Country:US
Practice Address - Phone:801-254-9038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-20
Last Update Date:2013-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA235264163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse