Provider Demographics
NPI:1669464483
Name:STONE, MICHELE (CRNA)
Entity Type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:
Last Name:STONE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9040 FITZSIMMONS DR
Mailing Address - Street 2:MCED
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98431-1000
Mailing Address - Country:US
Mailing Address - Phone:253-968-0062
Mailing Address - Fax:253-968-2899
Practice Address - Street 1:9040 FITZSIMMONS DR
Practice Address - Street 2:MCED
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-1000
Practice Address - Country:US
Practice Address - Phone:253-968-0062
Practice Address - Fax:253-968-2899
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX526963367500000X
IL209-001297367500000X
FL3220652367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered