Provider Demographics
NPI:1215969720
Name:KOLEY STONER, CAROLINE (NPC)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:KOLEY STONER
Suffix:
Gender:F
Credentials:NPC
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:ANN
Other - Last Name:KOLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, NPC
Mailing Address - Street 1:551 LII WAY
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-1540
Mailing Address - Country:US
Mailing Address - Phone:808-727-0900
Mailing Address - Fax:
Practice Address - Street 1:233 S MARKET ST
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-2218
Practice Address - Country:US
Practice Address - Phone:808-727-0900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2016-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1671363LA2200X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI1671OtherAPRN RX LICENSE