Doctor Name: | SHANNA LEE STEELE-PERKINS |
NPI Number: | 1700943263 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 241825 |
Business Practice Address: | 1100 W Reynosa Ave De Leon, TX - 764441630 |
Business Phone Number: | 2548935895 |
Business Fax Number: | 2548935222 |
Mailing Address: | 3804 Highway 377 S, BROWNWOOD |
State: | TX |
Postal Code: | 768015120 |
Phone Number: | 2548935895 |
Fax Number: | 2548935222 |
NPI Enumeration Date: | 01/03/2007 |
NPI Last Update Date: | 09/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 241825 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |