Clyde Stone is a Licensed Practical Nurse based in Auburn, WA. Clyde Stone practices in Auburn, WA. The NPI Number for Clyde Stone is 1891262911 and holds a License No. LP00058014 (Washington).
The current practice location address for Clyde Stone is 3624 Auburn Way N, Auburn, WA and can be reached out via phone at 253-508-7571.
Location: 3624 Auburn Way N, Auburn, WA, 98002-1801
Provider Profile Details
NPI Number
1891262911
Provider Name
Clyde Stone
Credential
Provider Entity Type
Individual
Gender
Male
Address
3624 Auburn Way N, Auburn, WA, 98002-1801
Phone Number
253-508-7571
Fax Number
Provider Enumeration Date
10/26/2018
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LP00058014 | 01 | WA | DOH |
| LP00058014 | 05 | WA |
Provider Business Practice Location Address Details
Address
3624 Auburn Way N
City
State
Zip
98002-1801
Phone Number
253-508-7571
Fax Number
Provider Business Mailing Address Details
Address
3624 Auburn Way N
City
State
Zip
98002-1801
Phone Number
253-508-7571
Fax Number
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
LP00058014 (Washington)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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