Provider Demographics
NPI:1982952990
Name:TAPLIN, STACIA (LM, CPM)
Entity Type:Individual
Prefix:
First Name:STACIA
Middle Name:
Last Name:TAPLIN
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1142 COW HORSE DR
Mailing Address - Street 2:
Mailing Address - City:KUNA
Mailing Address - State:ID
Mailing Address - Zip Code:83634-1428
Mailing Address - Country:US
Mailing Address - Phone:208-841-1902
Mailing Address - Fax:
Practice Address - Street 1:1142 COW HORSE DR
Practice Address - Street 2:
Practice Address - City:KUNA
Practice Address - State:ID
Practice Address - Zip Code:83634-1428
Practice Address - Country:US
Practice Address - Phone:208-841-1902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-22
Last Update Date:2012-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID37176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife