Individual
MRS. ANGELA MARIE STONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 635-5264
Mailing address
2049 HONEYSUCKLE LN, JEFFERSON CITY, MO 65109-5817
(573) 645-7784
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2019035014
MO
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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