Provider Demographics
NPI:1063854735
Name:STEELE, PATRICIA A (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:A
Last Name:STEELE
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:A
Other - Last Name:MISNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:95 RUSSELL BROOK RD
Mailing Address - Street 2:
Mailing Address - City:ROSCOE
Mailing Address - State:NY
Mailing Address - Zip Code:12776-3102
Mailing Address - Country:US
Mailing Address - Phone:607-498-5199
Mailing Address - Fax:
Practice Address - Street 1:95 RUSSELL BROOK RD
Practice Address - Street 2:
Practice Address - City:ROSCOE
Practice Address - State:NY
Practice Address - Zip Code:12776-3102
Practice Address - Country:US
Practice Address - Phone:607-498-5199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-23
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY507321163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse