Individual
KATHRYN STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
265 WESTERN AVE STE 1, SOUTH PORTLAND, ME 04106-2415
(207) 661-0100
Mailing address
138 BAYVIEW ST APT B, YARMOUTH, ME 04096-6506
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP181268
ME
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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