Individual
DIANE WATSON STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2325 18TH ST STE 130, COLUMBUS, IN 47201-5387
(812) 379-2020
(812) 378-8267
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004413A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000990795
ANTHEM PIN
IN
05
—
201175550
—
IN
Enumeration date
04/10/2013
Last updated
09/09/2024
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