Stevenson, Katie A

Stevenson, Katie A is an individual health care provider with primary practice located at 400 E 3Rd St Duluth Clinic, Duluth MN 55805-1951. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Stevenson, Katie A can be contacted via phone (218) 786-3985.

Contact Information

Primary practice address
400 E 3Rd St Duluth Clinic Duluth MN 55805-1951
Phone: (218) 786-3985
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R 116488-0 Minnesota

Profile Details

NPI number 1427050921
LBN Legal business name Stevenson, Katie A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Apr 24th, 2012 - about 14 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 1427050921 NPPES
Minnesota MEDICAID 560019700

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