Provider Demographics
NPI:1346791191
Name:MAUSSER, KATRINA MARIA (RN)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:MARIA
Last Name:MAUSSER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:KATRINA
Other - Middle Name:MARIA
Other - Last Name:STEVENS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:5043 E 113TH ST
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-2732
Mailing Address - Country:US
Mailing Address - Phone:216-536-0427
Mailing Address - Fax:
Practice Address - Street 1:5043 E 113TH ST
Practice Address - Street 2:
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-2732
Practice Address - Country:US
Practice Address - Phone:216-536-0427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-17
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-424583163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse