NPI 1235801085
Stephanie Requena
Practice location
- Address
- 184 Clark Point Rd, Southwest Harbor, ME 04679-4414
- Phone
- (207) 244-4678
- Mailing address
- PO Box 5000, Southwest Harbor, ME 04679-5000
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1235801085
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Sep 2021
- Record last updated
- 30 Sep 2021
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.