Provider Demographics
NPI:1134000136
Name:STONER, CAROLINE NICOLE
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:NICOLE
Last Name:STONER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 N MCKINLEY AVE
Mailing Address - Street 2:
Mailing Address - City:SAND SPRINGS
Mailing Address - State:OK
Mailing Address - Zip Code:74063-8122
Mailing Address - Country:US
Mailing Address - Phone:918-724-1646
Mailing Address - Fax:
Practice Address - Street 1:1616 N MCKINLEY AVE
Practice Address - Street 2:
Practice Address - City:SAND SPRINGS
Practice Address - State:OK
Practice Address - Zip Code:74063-8122
Practice Address - Country:US
Practice Address - Phone:918-724-1646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program