Sandra Stubblefield, CRNP
Individual provider Active NPI Acute Care Nurse Practitioner · E. Stroudburg, PA
NPI 1093067753 · NPPES record last updated Aug 7, 2013
Key facts
- NPI
- 1093067753
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- SP012338 (PA)
- Practice address
- 235 E. Brown Street
E. Stroudburg, PA 18332 - Phone
- (570) 421-3872
- NPI assigned
- Oct 4, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | SP012338 | PA | Yes |
Addresses
Primary practice location
235 E. Brown Street
E. Stroudburg, PA 18332
Mailing address
235 E. Brown Street
E. Stroudburg, PA 18332
Phone (570) 421-3872
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.