Individual
KATIE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9876
(914) 709-8165
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9876
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430826
NY
Other
Enumeration date
08/10/2014
Last updated
10/21/2014
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