Provider Demographics
NPI:1649422056
Name:STONE, ANNE M (RD)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:M
Last Name:STONE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3075 E THOUSAND OAKS BLVD
Mailing Address - Street 2:BLDG 100
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-3402
Mailing Address - Country:US
Mailing Address - Phone:805-374-8775
Mailing Address - Fax:805-374-4635
Practice Address - Street 1:3075 E THOUSAND OAKS BLVD
Practice Address - Street 2:BLDG 100
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-3402
Practice Address - Country:US
Practice Address - Phone:805-374-8775
Practice Address - Fax:805-374-4635
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-16
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA718315133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered