Individual
MS. DIANA LYNN STONE-POORE
Active
Individual
MS. DIANA LYNN STONE-POORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ARNP
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
AP30003405
WA
363LP2300X
Primary Care Nurse Practitioner
Primary
AP30003405
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3076ST
BLUE SHIELD #
WA
05
—
9613498
—
WA
01
—
P00394684
RAILROAD MC # VM
WA
01
—
US5792716
AETNA SPECIALIST PIN VM
WA
Enumeration date
11/01/2006
Last updated
05/18/2008
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