Provider Demographics
NPI:1689604753
Name:STEBBINS, LOUISE A (RNCS; APRN)
Entity Type:Individual
Prefix:MRS
First Name:LOUISE
Middle Name:A
Last Name:STEBBINS
Suffix:
Gender:F
Credentials:RNCS; APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-2732
Mailing Address - Country:US
Mailing Address - Phone:508-540-7042
Mailing Address - Fax:508-540-4141
Practice Address - Street 1:230 MAIN ST
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-2732
Practice Address - Country:US
Practice Address - Phone:508-540-7042
Practice Address - Fax:508-540-4141
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA88325163WP0807X, 163WP0808X, 163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent
Not Answered163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Not Answered163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1053593OtherCIGNA
MAPN0376OtherBCBS OF MASSACHUSETTS
MA088325OtherTUFTS HEALTH PLAN
MA420068OtherHARVARD PILGRIM HEALTH
MAPN0376OtherBCBS OF MASSACHUSETTS
MA1053593OtherCIGNA