Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | APRN.CNP.024172 | OH |
NPI | 1013472059 |
---|---|
Provider Name | Katherine E Stemen |
First Address | Powell, OH 43065-7548 |
Second Address | Powell, OH 43065-7548 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2019 |
Last Update Date | 04/02/2019 |