Individual
BETHANY RENEE STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
503 N MAPLE ST, EFFINGHAM, IL 62401-2006
(217) 347-1211
Mailing address
503 N MAPLE ST, EFFINGHAM, IL 62401-2006
(217) 347-1211
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.018389
IL
363LF0000X
Family Nurse Practitioner
Primary
209.018389
IL
Other
Enumeration date
10/06/2018
Last updated
11/07/2025
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