Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Taylor Anne Stubblefield, IDC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013663129

Taylor Anne Stubblefield, IDC is a Student in an Organized Health Care Education/Training Program in Pearl Harbor, Hawaii. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

480 Central Ave
Pearl Harbor, HI 96860-4908
Phone: (951) 442-2444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013663129
Entity typeIndividual (Type 1)
GenderFemale
Credentials IDC
Sole proprietorNo
NPI enumeratedFebruary 28, 2022
Last updated in NPPESAugust 21, 2023
Certification dateAugust 21, 2023

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