Provider Demographics
NPI:1598912206
Name:STONE, ROBIN DIANE (RN, FNP-C)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:DIANE
Last Name:STONE
Suffix:
Gender:F
Credentials:RN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 WOODALL RD
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-1970
Mailing Address - Country:US
Mailing Address - Phone:216-903-3105
Mailing Address - Fax:
Practice Address - Street 1:12513 BRIGHTON AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-4535
Practice Address - Country:US
Practice Address - Phone:216-903-3105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-25
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH326820163WM0705X
OHAPRN.CNP.019426363LF0000X
SC28380363LF0000X
GARN289179363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical