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Individual

STACY R STUBBLEFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM/ARNP

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP30006908
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4322ST
ASURIS NW HEALTH
WA
01
7532701
AETNA
WA
05
9647454
WA
Enumeration date
10/13/2006
Last updated
09/09/2021
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