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Individual

MS. ELYSIA L STONEM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, AG-ACNP-BC

Contact information

Practice address
30 MON HEALTH DRIVE, MORGANTOWN, WV 26505-2853
(337) 991-9276
(337) 943-0846
Mailing address
14624 11TH AVE SW, BURIEN, WA 98166-1802
(304) 413-3183

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001239593
VA
363LA2100X
Acute Care Nurse Practitioner
0024174282
VA
363LA2100X
Acute Care Nurse Practitioner
5017720
NC
363LA2100X
Acute Care Nurse Practitioner
96841
WV
363LA2100X
Acute Care Nurse Practitioner
Primary
AP61144182
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2179988
WA
Enumeration date
03/29/2017
Last updated
04/22/2024
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