Individual
MARY STONE-ARAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
281
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010139602
REGENCE BLUE SHIELD OF ID
HI
01
—
13D0521509
CLIA LAB ID NUMBER
ID
05
—
805192300
—
ID
01
—
N-14600
IDAHO STATE LICENSE
ID
01
—
NP-281A
IDAHO STATE LICENSE
ID
01
—
NPXP6
BLUE CROSS OF IDAHO
ID
Enumeration date
01/31/2006
Last updated
07/09/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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