Provider Demographics
NPI:1548006901
Name:STONE, DENISE M
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:M
Last Name:STONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5525 GEORGETOWN RD STE E
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-3717
Mailing Address - Country:US
Mailing Address - Phone:317-332-7700
Mailing Address - Fax:317-974-9922
Practice Address - Street 1:5525 GEORGETOWN RD STE E
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-3717
Practice Address - Country:US
Practice Address - Phone:317-332-7700
Practice Address - Fax:317-974-9922
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-05
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN24-013135-13747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider