Basic Information
Provider Information
NPI: 1285209114
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SPRINGSTUBB
FirstName: MARLENA ASHLEY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CNN/WHNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 305 E CENTER AVE
Address2:  
City: VISALIA
State: CA
PostalCode: 932916331
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 305 E CENTER AVE
Address2:  
City: VISALIA
State: CA
PostalCode: 932916331
CountryCode: US
TelephoneNumber: 5597374700
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/24/2021
LastUpdateDate: 03/14/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/14/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
176B00000X236244 Y Other Service ProvidersMidwife 

No ID Information.


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