Provider Demographics
NPI:1528603230
Name:STEVENS, CATHERINA LUISA (RN)
Entity Type:Individual
Prefix:MS
First Name:CATHERINA
Middle Name:LUISA
Last Name:STEVENS
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:1201 NOTT ST STE 106
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-2589
Mailing Address - Country:US
Mailing Address - Phone:518-374-3123
Mailing Address - Fax:
Practice Address - Street 1:122 DAY SPRING CT
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12306-3344
Practice Address - Country:US
Practice Address - Phone:518-356-0842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-18
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY602854367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered