Individual
KATIE A STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
400 E 3RD ST, DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-3985
Mailing address
400 E 3RD ST, DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-3985
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 116488-0
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
560019700
—
MN
Enumeration date
08/15/2005
Last updated
04/24/2012
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