NPI 1003944836

Dana Shay Therkildsen, IDC

Practitioner Independent Duty Corpsman Bremerton, WA

Practice location

Address: 1 Boone Rd, Bremerton, WA 98312-1894
Phone: (360) 475-4887
Fax: (360) 475-4522
Mailing address: Uss John C Stennis Cvn74 PO Box 67, Fpo, AP 96615

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1003944836
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Mar 2007
Record last updated: 14 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.