Provider Demographics
NPI:1871139337
Name:STONE, ANTONIO (APN)
Entity type:Individual
Prefix:
First Name:ANTONIO
Middle Name:
Last Name:STONE
Suffix:
Gender:M
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7765 WADSWORTH BLVD UNIT 741281
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80006-3052
Mailing Address - Country:US
Mailing Address - Phone:720-798-1900
Mailing Address - Fax:720-798-1909
Practice Address - Street 1:8758 WOLFF CT STE 100
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-6904
Practice Address - Country:US
Practice Address - Phone:720-798-1900
Practice Address - Fax:720-798-1909
Is Sole Proprietor?:No
Enumeration Date:2019-11-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0994832363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health