Doctor Name: | KATRINA R. STEPHANOS |
NPI Number: | 1053472662 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP-FAMILY |
License Number: | R127707 |
Business Practice Address: | 6040 Public Landing Rd Snow Hill, MD - 218632453 |
Business Phone Number: | 4106321100 |
Business Fax Number: | |
Mailing Address: | 7000 Cherrix Rd, GIRDLETREE |
State: | MD |
Postal Code: | 218292819 |
Phone Number: | 4432353701 |
Fax Number: | |
NPI Enumeration Date: | 12/13/2006 |
NPI Last Update Date: | 05/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | R127707 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |