NPI 1013663129

Taylor Anne Stubblefield, IDC

Practitioner Independent Duty Corpsman Pearl Harbor, HI

Practice location

Address: 480 Central Ave, Pearl Harbor, HI 96860-4908
Phone: (951) 442-2444

Registered specialties (2)

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1013663129
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Feb 2022
Record last updated: 21 Aug 2023

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.