Provider Demographics
NPI:1124203112
Name:STEINHOEFEL, MINDY SUE (RN)
Entity Type:Individual
Prefix:
First Name:MINDY
Middle Name:SUE
Last Name:STEINHOEFEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:MELINDA
Other - Middle Name:SUE
Other - Last Name:MCALEXANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2113 BRIDGEWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355-1404
Mailing Address - Country:US
Mailing Address - Phone:209-524-2353
Mailing Address - Fax:
Practice Address - Street 1:1441 FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-4405
Practice Address - Country:US
Practice Address - Phone:209-578-1211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA301700163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse