Provider Demographics
NPI:1902661465
Name:STONER, AMY COLLEEN (CNM)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:COLLEEN
Last Name:STONER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 PINE ST
Mailing Address - Street 2:
Mailing Address - City:ROYERSFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19468-1928
Mailing Address - Country:US
Mailing Address - Phone:602-820-0959
Mailing Address - Fax:
Practice Address - Street 1:1382 LANES MILL RD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-3892
Practice Address - Country:US
Practice Address - Phone:732-994-4242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25ME00085500176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife