Individual
KATRINA STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7827 TOWN SQUARE AVE STE 104, O FALLON, MO 63368-7199
(314) 803-0297
Mailing address
39 KASSEBAUM LN APT 304, SAINT LOUIS, MO 63129-1596
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
2010019398
MO
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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