Provider Demographics
NPI:1225694805
Name:STEIN, KATHERINE (CPNP-PC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:STEIN
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 IRVING ST NW APT 327
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2872
Mailing Address - Country:US
Mailing Address - Phone:301-518-7461
Mailing Address - Fax:
Practice Address - Street 1:1400 IRVING ST NW APT 327
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2872
Practice Address - Country:US
Practice Address - Phone:301-518-7461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-19
Last Update Date:2019-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1051043363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics