Stone-Arave, Mary

Stone-Arave, Mary is an individual health care provider with primary practice located at 222 N 2Nd St Ste 206 , Boise ID 83702-6130. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Stone-Arave, Mary can be contacted via phone (208) 342-2516.

Contact Information

Primary practice address
222 N 2Nd St Ste 206 Boise ID 83702-6130
Phone: (208) 342-2516
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 281 Idaho

Profile Details

NPI number 1508837154
LBN Legal business name Stone-Arave, Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508837154 NPPES
Idaho Other 13D0521509 CLIA LAB ID NUMBER
Idaho MEDICAID 805192300 CLIA LAB ID NUMBER
Idaho Other NP-281A CLIA LAB ID NUMBER
Idaho Other 000010139602 CLIA LAB ID NUMBER
Idaho Other NPXP6 CLIA LAB ID NUMBER
Idaho Other N-14600 CLIA LAB ID NUMBER

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