Provider Demographics
NPI:1831265362
Name:STONE, ROBERT (CRNA)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:STONE
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 537
Mailing Address - Street 2:
Mailing Address - City:INTERVALE
Mailing Address - State:NH
Mailing Address - Zip Code:03845-0537
Mailing Address - Country:US
Mailing Address - Phone:603-356-7057
Mailing Address - Fax:
Practice Address - Street 1:220 COTTAGE ST
Practice Address - Street 2:ANESTHESIA DEPARTMEN
Practice Address - City:LITTLETON
Practice Address - State:NH
Practice Address - Zip Code:03561-4101
Practice Address - Country:US
Practice Address - Phone:603-444-0272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH034972-23-11367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
430052487OtherRAILROAD MEDICARE
NH30011593Medicaid
NHRE5502Medicare ID - Type Unspecified
NH30011593Medicaid
NHRE5502Medicare PIN