Provider Demographics
NPI:1073797163
Name:OCHSNER, STEPHANIE LEA (RN)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:LEA
Last Name:OCHSNER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:STEPHANIE
Other - Middle Name:LEA
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3071 COUNTRYSIDE DR
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40067-6677
Mailing Address - Country:US
Mailing Address - Phone:502-722-5726
Mailing Address - Fax:
Practice Address - Street 1:800 ZORN AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40206-1433
Practice Address - Country:US
Practice Address - Phone:502-287-5779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-26
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1098226163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse