Provider Demographics
NPI:1891062709
Name:DOUGLASS, STEPHANIE CELINE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:CELINE
Last Name:DOUGLASS
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:127 ONEIDA VALLEY RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-2239
Mailing Address - Country:US
Mailing Address - Phone:866-620-6761
Mailing Address - Fax:724-631-0227
Practice Address - Street 1:127 ONEIDA VALLEY RD
Practice Address - Street 2:SUITE 400
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-2239
Practice Address - Country:US
Practice Address - Phone:866-620-6761
Practice Address - Fax:724-631-0227
Is Sole Proprietor?:No
Enumeration Date:2011-11-20
Last Update Date:2013-05-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASP011792363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner