Individual
KATHERINE MARIE STIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4692 BROWNSBORO RD, WINSTON SALEM, NC 27106-3410
(336) 251-1114
(336) 251-1117
Mailing address
4692 BROWNSBORO RD, WINSTON SALEM, NC 27106-3410
(336) 251-1114
(336) 251-1117
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
149036
MO
363L00000X
Nurse Practitioner
209-000241
IL
363L00000X
Nurse Practitioner
Primary
5009318
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421381104
—
MO
01
—
P00148206
METRAHEALTH RR S.IL
IL
01
—
P00302003
METRAHEALTH RR MO
MO
Enumeration date
05/10/2006
Last updated
04/17/2018
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