Stephanos, Katrina R.

Stephanos, Katrina R. is an individual health care provider with primary practice located at 6040 Public Landing Rd , Snow Hill MD 21863-2453. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Stephanos, Katrina R. can be contacted via phone (410) 632-1100.

Contact Information

Primary practice address
6040 Public Landing Rd Snow Hill MD 21863-2453
Phone: (410) 632-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X R127707 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R127707 Maryland

Profile Details

NPI number 1053472662
LBN Legal business name Stephanos, Katrina R.
Credentials CRNP-FAMILY
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated May 4th, 2012 - about 12 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 1053472662 NPPES
Maryland MEDICAID 705371101

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