Provider Demographics
NPI:1306072590
Name:STONE, ANNA M (PHD, ARNP)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:M
Last Name:STONE
Suffix:
Gender:F
Credentials:PHD, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2133 WOODFORD PL
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-1913
Mailing Address - Country:US
Mailing Address - Phone:502-931-5958
Mailing Address - Fax:866-450-9771
Practice Address - Street 1:2010 CHEROKEE PKWY
Practice Address - Street 2:SUITE 2
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40204-2254
Practice Address - Country:US
Practice Address - Phone:502-931-5958
Practice Address - Fax:866-450-9771
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5385P363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health