Provider Demographics
NPI:1588376396
Name:STONE, NATALIE MICHELLE (APRN)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:MICHELLE
Last Name:STONE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1143 FAIRWAY STREET
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42103-2452
Mailing Address - Country:US
Mailing Address - Phone:207-906-9847
Mailing Address - Fax:
Practice Address - Street 1:1143 FAIRWAY STREET
Practice Address - Street 2:SUITE 103
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42103-2452
Practice Address - Country:US
Practice Address - Phone:207-906-9847
Practice Address - Fax:812-285-8392
Is Sole Proprietor?:No
Enumeration Date:2022-12-23
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY3018773363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health