Provider Demographics
NPI:1407669914
Name:STONER, RYAN (FDN-P)
Entity type:Individual
Prefix:MR
First Name:RYAN
Middle Name:
Last Name:STONER
Suffix:
Gender:M
Credentials:FDN-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5911 N HONORE AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243-2634
Mailing Address - Country:US
Mailing Address - Phone:941-444-1441
Mailing Address - Fax:
Practice Address - Street 1:5911 N HONORE AVE STE 103
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-2634
Practice Address - Country:US
Practice Address - Phone:941-444-1441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education