Provider Demographics
NPI:1659791523
Name:STONE, ANGELA BRYSON (RN)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:BRYSON
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 1:647 WAYAH ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-3390
Mailing Address - Country:US
Mailing Address - Phone:828-369-1781
Mailing Address - Fax:828-369-1809
Practice Address - Street 1:647 WAYAH ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-3390
Practice Address - Country:US
Practice Address - Phone:828-369-1781
Practice Address - Fax:828-369-1809
Is Sole Proprietor?:No
Enumeration Date:2014-04-18
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC149755163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care