Provider Demographics
NPI:1033832845
Name:STEFFANUS, REBECCA LEIGH
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:LEIGH
Last Name:STEFFANUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 SHENANGO AVE
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-1503
Mailing Address - Country:US
Mailing Address - Phone:724-662-2650
Mailing Address - Fax:724-662-1338
Practice Address - Street 1:737 GREENVILLE RD
Practice Address - Street 2:
Practice Address - City:MERCER
Practice Address - State:PA
Practice Address - Zip Code:16137-5070
Practice Address - Country:US
Practice Address - Phone:724-662-2650
Practice Address - Fax:724-662-1338
Is Sole Proprietor?:No
Enumeration Date:2022-09-26
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP026740363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily