Provider Demographics
NPI:1467822262
Name:STEARNS, KATIE A (FNP)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:A
Last Name:STEARNS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 1ST ST NE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WESSINGTON SPRINGS
Mailing Address - State:SD
Mailing Address - Zip Code:57382-2167
Mailing Address - Country:US
Mailing Address - Phone:605-539-1778
Mailing Address - Fax:605-539-9546
Practice Address - Street 1:602 1ST ST NE
Practice Address - Street 2:SUITE 1
Practice Address - City:WESSINGTON SPRINGS
Practice Address - State:SD
Practice Address - Zip Code:57382-2167
Practice Address - Country:US
Practice Address - Phone:605-539-1778
Practice Address - Fax:605-539-9546
Is Sole Proprietor?:No
Enumeration Date:2015-10-06
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCP000988363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily