Stone-Poore, Diana Lynn

Stone-Poore, Diana Lynn is an individual health care provider with primary practice located at 33501 1St Way S , Federal Way WA 98003-6208. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Women's Health Care, Ambulatory, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Stone-Poore, Diana Lynn can be contacted via phone (253) 874-1638.

Contact Information

Primary practice address
33501 1St Way S Federal Way WA 98003-6208
Phone: (253) 874-1638
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Women's Health Care, Ambulatory 163WW0101X AP30003405 Washington
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP30003405 Washington

Profile Details

NPI number 1942387550
LBN Legal business name Stone-Poore, Diana Lynn
Credentials MSN, ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated May 18th, 2008 - about 18 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 1942387550 NPPES
Washington Other US5792716 AETNA SPECIALIST PIN VM
Washington Other 3076ST AETNA SPECIALIST PIN VM
Washington MEDICAID 9613498 AETNA SPECIALIST PIN VM
Washington Other P00394684 AETNA SPECIALIST PIN VM

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