National Provider Identifier
Kristin Brook Stevens, OB GYN, NP
Kristin Brook Stevens, OB GYN, NP is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 277-0969.
Profile Overview
- NPI
- 1245255454
- Provider Type
- Individual
- Primary Specialty
- Obstetrics & Gynecology Nurse Practitioner
- Enumeration Date
- July 12, 2006
- Last Updated
- February 26, 2015
Practice Location
- 404 N Cayuga Street
- Ithaca, NY 14850-4219
Phone: (607) 277-0969
Specialties
- Obstetrics & Gynecology Nurse Practitioner (363LX0001X)
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1245255454
- Entity Type
- Individual
- Last Name
- Stevens
- First Name
- Kristin
- Middle Name
- Brook
- Name Prefix
- MS.
- Credential
- OB GYN, NP
- Mailing Street Address
- 404 N Cayuga Street
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-4219
- Mailing Country
- US
- Mailing Phone
- (607) 277-0969
- Mailing Fax
- (607) 277-3242
- Practice Street Address
- 404 N Cayuga Street
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4219
- Practice Country
- US
- Practice Phone
- (607) 277-0969
- Practice Fax
- (607) 277-3242
- Enumeration Date
- July 12, 2006
- Last Updated
- February 26, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Obstetrics & Gynecology Nurse Practitioner (363LX0001X), Registered Nurse (163W00000X)
- Other Identifiers
- 02781744 (NY), AA1307 (NY, Medicare Group)