Doctor Name: | THERESA MARIE STEELE |
NPI Number: | 1134329808 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYCHNP |
License Number: | R 104065-8 |
Business Practice Address: | 14241 Grand Oaks Drive Baxter Community Behavioral Health Hospital Baxter, MN - 56425 |
Business Phone Number: | 2183163101 |
Business Fax Number: | 2188299141 |
Mailing Address: | 14241 Grand Oaks Drive, Baxter Community Behavioral Health Hospital BAXTER |
State: | MN |
Postal Code: | 56425 |
Phone Number: | 2183163101 |
Fax Number: | 2188299141 |
NPI Enumeration Date: | 07/20/2007 |
NPI Last Update Date: | 09/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0809X |
License Number: | R 104065-8 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |