Stephenson, Katharine Nicole

Stephenson, Katharine Nicole is an individual health care provider with primary practice located at 1 Royce Cir Ste 104 , Storrs CT 06268-2270. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stephenson, Katharine Nicole can be contacted via phone (860) 487-9200.

Contact Information

Primary practice address
1 Royce Cir Ste 104 Storrs CT 06268-2270
Fax: (860) 487-9222
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 001111 Connecticut

Profile Details

NPI number 1205869112
LBN Legal business name Stephenson, Katharine Nicole
Credentials MSN, APRN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Sep 12th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205869112 NPPES
Connecticut MEDICAID 004025144
Connecticut Other 500000608

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