Individual provider · Type 1 NPI

Edward Tubberville

Student in an Organized Health Care Education/Training Program · Fredericksburg, VA

NPI number 1649030156 Active

Practice location

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453

Fax (540) 741-9201

Mailing address

530 W New Hope Rd Apt C1
Goldsboro, NC 27534-7586

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 1649030156

Edward Tubberville's National Provider Identifier is 1649030156, issued on Mar 21, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fredericksburg, VA. The record was last updated on May 14, 2025.