Provider Demographics
NPI:1093427940
Name:STEEN, KYLIE NICHOLE (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:KYLIE
Middle Name:NICHOLE
Last Name:STEEN
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1710 W HWY 287 BUS STE 100
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-4733
Mailing Address - Country:US
Mailing Address - Phone:972-937-7878
Mailing Address - Fax:972-937-8934
Practice Address - Street 1:1710 W HWY 287 BUS STE 100
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-4733
Practice Address - Country:US
Practice Address - Phone:972-937-7878
Practice Address - Fax:972-937-8934
Is Sole Proprietor?:No
Enumeration Date:2022-12-21
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1101442363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics