Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 11764 | NH |
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 234757 | MA |
NPI | 1063511616 |
---|---|
Provider Name | Yolanda L. Troublefield |
First Address | Fairhaven, MA 02719-5252 |
Second Address | Dartmouth, MA 02747-1280 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 27/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30203220 | (05) | NH |
H70481 | (02) |