Stanford, Katie Melissa

Stanford, Katie Melissa is an individual health care provider with primary practice located at 217 Columbus Rd Ste 105 , Athens OH 45701-1393. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Stanford, Katie Melissa can be contacted via phone (740) 200-0562.

Contact Information

Primary practice address
217 Columbus Rd Ste 105 Athens OH 45701-1393
Phone: (740) 200-0562
Fax: (949) 757-6694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X APRN.CNP.024676 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2018090842 Ohio

Profile Details

NPI number 1801454558
LBN Legal business name Stanford, Katie Melissa
Credentials MSN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2019
Last updated Jul 17th, 2024 - about 4 months 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 1801454558 NPPES
Ohio Other 2018090842 STATE OF OHIO NURSING LICENSE #

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