Provider Demographics
NPI:1073977864
Name:STEINBAUER, ALDER CLAY (RN)
Entity Type:Individual
Prefix:
First Name:ALDER
Middle Name:CLAY
Last Name:STEINBAUER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:AERYCA
Other - Middle Name:C
Other - Last Name:STEINBAUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:230 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040
Mailing Address - Country:US
Mailing Address - Phone:413-420-2153
Mailing Address - Fax:413-540-0957
Practice Address - Street 1:230 MAPLE ST
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040
Practice Address - Country:US
Practice Address - Phone:413-420-2200
Practice Address - Fax:413-534-5416
Is Sole Proprietor?:No
Enumeration Date:2016-04-08
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2301768163WC1500X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110027773Medicaid