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EDWINA STALLWORTH
NPI 1962007344
Technician/Technologist in Dearborn, MI

Active since December 02, 2020
19853 OUTER DR STE 110, DEARBORN, MI 48124(313) 406-5056 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 5, 2023, Dec 2, 2020 (2 updates tracked since 2020).

About Edwina Stallworth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWINA STALLWORTH (NPI 1962007344) is an individual technician/technologist in Dearborn, Michigan and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1962007344
Entity TypeIndividualFemale
Primary Taxonomy156F00000X
Provider Legal NameEDWINA STALLWORTH
Location Address19853 OUTER DR STE 110Dearborn, MI 48124-2044
Mailing Address19853 Outer Dr Ste 110Dearborn, MI 48124-2044 · (313) 406-5056
Phone(313) 406-5056
Sole ProprietorNo
Enumeration DateDecember 2, 2020
Last NPPES UpdateOctober 5, 20232 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
✔ NPI 1962007344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/TechnologistEye and Vision Services Providers
Taxonomy Code156F00000X
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
19853 OUTER DR STE 110, Dearborn, MI 48124
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. RANIA AHMED HADARAH
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (406) 505-6313
MEGHAN HONORA ELIZABETH KELLEY
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056
RANDY HUNTER JR.
Behavior Technician
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056
REEM ABUSHAWISH
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056
SAJA MAHMOUD
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056
HADEL MAZLOUM
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056
COREY MICHAEL GEARHAT
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056
MICHAEL ANDRE THIBAULT JR.
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edwina Stallworth's NPI number?

The NPI number for Edwina Stallworth is 1962007344. It was assigned to this individual provider in the NPPES registry on December 2, 2020.

Where is Edwina Stallworth located?

Edwina Stallworth practices at 19853 Outer Dr Ste 110, Dearborn, MI 48124. The listed phone number is (313) 406-5056.

What is Edwina Stallworth's specialty?

The primary specialty registered for this NPI is Technician/Technologist with taxonomy code 156F00000X.

When was this NPI record last updated?

The NPPES record for Edwina Stallworth was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.