Provider Demographics
NPI:1710966874
Name:STAMATERIS, CONSTANCE ELIZABETH (RN)
Entity Type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:ELIZABETH
Last Name:STAMATERIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 827 BOX 166
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09617
Mailing Address - Country:IT
Mailing Address - Phone:01139081-811-6338
Mailing Address - Fax:6057
Practice Address - Street 1:PSC 827 BOX 166
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09617
Practice Address - Country:IT
Practice Address - Phone:01139081-811-6338
Practice Address - Fax:6057
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY405840-1163WC0200X
TX663525163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
Not Answered163WE0003XNursing Service ProvidersRegistered NurseEmergency