Provider Demographics
NPI:1609039676
Name:STONE, DEBRA S (RPA)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:S
Last Name:STONE
Suffix:
Gender:F
Credentials:RPA
Other - Prefix:
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Mailing Address - Street 1:100 TER HEUN DR
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-2503
Mailing Address - Country:US
Mailing Address - Phone:508-457-3669
Mailing Address - Fax:508-457-3538
Practice Address - Street 1:100 TER HEUN DR
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-2503
Practice Address - Country:US
Practice Address - Phone:508-457-3669
Practice Address - Fax:508-457-3538
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA02MA1048363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical