Individual provider · Type 1 NPI

Stacey K. Douwes

Student in an Organized Health Care Education/Training Program · Indio, CA

NPI number 1003771114 Active

Practice location

47915 Oasis St
Indio, CA 92201-6950

Call (760) 835-5601 Map

Mailing address

1207 Palmas Rdg
Palm Springs, CA 92262-1259

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003771114

Stacey K. Douwes's National Provider Identifier is 1003771114, issued on Dec 20, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indio, CA. The record was last updated on Dec 20, 2025.