Individual
MRS. KAITLYN JANE STUBBLEBINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3700 S MAIN ST, BLACKSBURG, VA 24060-7017
(540) 951-1111
Mailing address
4508 BEAR DR, DUBLIN, VA 24084-4702
(860) 716-8658
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001255461
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024180817
VA
Other
Enumeration date
11/17/2020
Last updated
01/21/2021
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