Provider Demographics
NPI:1396554481
Name:STUART, CATHERINE SIERRA (PMHNP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:SIERRA
Last Name:STUART
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 SACO AVE STE 2A
Mailing Address - Street 2:
Mailing Address - City:OLD ORCHARD BEACH
Mailing Address - State:ME
Mailing Address - Zip Code:04064-1623
Mailing Address - Country:US
Mailing Address - Phone:207-937-8254
Mailing Address - Fax:844-824-7835
Practice Address - Street 1:155 SACO AVE STE 2A
Practice Address - Street 2:
Practice Address - City:OLD ORCHARD BEACH
Practice Address - State:ME
Practice Address - Zip Code:04064-1623
Practice Address - Country:US
Practice Address - Phone:207-937-8254
Practice Address - Fax:844-824-7835
Is Sole Proprietor?:No
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP241740363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health