Individual
STACEY FAYE ALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP-BC
Contact information
Practice address
NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DR, SAN DIEGO, CA 92134-0001
(619) 643-1197
Mailing address
2020 CAMINO DE LA REINA UNIT 106, SAN DIEGO, CA 92108-5523
(619) 643-1197
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
236252
CA
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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