IndividualActive
Stephanie Requena
NPI 1235801085 · Independent Duty Corpsman · Southwest Harbor, ME
Provider details
- NPI number
- 1235801085
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
184 Clark Point Rd
Southwest Harbor, ME 04679-4414
Phone: (207) 244-4678
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5000
Southwest Harbor, ME 04679-5000
Registry dates
- Enumerated
- 2021-09-30
- Last updated
- 2021-09-30
- Certified
- 2021-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.