Provider Demographics
NPI:1184661548
Name:STUMPF, ISABELLA N (DO)
Entity Type:Individual
Prefix:
First Name:ISABELLA
Middle Name:N
Last Name:STUMPF
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 HOLLAND WAY FL 1
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-2997
Mailing Address - Country:US
Mailing Address - Phone:603-580-6457
Mailing Address - Fax:603-580-6428
Practice Address - Street 1:5 ALUMNI DR
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-2128
Practice Address - Country:US
Practice Address - Phone:603-580-6457
Practice Address - Fax:603-580-6428
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH24679207RH0002X
ME1899208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30227560Medicaid
ME432022599Medicaid
NH30227560Medicaid
MEP00950197Medicare PIN
MEME1637Medicare PIN
MEI44453Medicare UPIN