Provider Demographics
NPI:1932062775
Name:STEBAR, KRISTINE CONNIE (MBA, BSN, RN, CRRN)
Entity type:Individual
Prefix:
First Name:KRISTINE
Middle Name:CONNIE
Last Name:STEBAR
Suffix:
Gender:F
Credentials:MBA, BSN, RN, CRRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:271 RIVER COVE DR
Mailing Address - Street 2:
Mailing Address - City:MORGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84050-9579
Mailing Address - Country:US
Mailing Address - Phone:801-710-9450
Mailing Address - Fax:
Practice Address - Street 1:271 RIVER COVE DR
Practice Address - Street 2:
Practice Address - City:MORGAN
Practice Address - State:UT
Practice Address - Zip Code:84050-9579
Practice Address - Country:US
Practice Address - Phone:801-710-9450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-08
Last Update Date:2025-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9643801-3102163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator