Provider Demographics
NPI:1740439249
Name:ATTUBATO, KATIE STILES (ACNP)
Entity type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:STILES
Last Name:ATTUBATO
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 WHITE PLAINS RD
Mailing Address - Street 2:SUITE 19
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5063
Mailing Address - Country:US
Mailing Address - Phone:914-472-1900
Mailing Address - Fax:
Practice Address - Street 1:700 WHITE PLAINS RD
Practice Address - Street 2:SUITE 19
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5063
Practice Address - Country:US
Practice Address - Phone:914-472-1900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-09
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY43430425363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care