Provider Demographics
NPI:1134659733
Name:STEELE, EUNHYE (APRN)
Entity Type:Individual
Prefix:
First Name:EUNHYE
Middle Name:
Last Name:STEELE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:EUNHYE
Other - Middle Name:
Other - Last Name:KIM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:GRACE KIM
Mailing Address - Street 1:PO BOX 929
Mailing Address - Street 2:
Mailing Address - City:CHICKASHA
Mailing Address - State:OK
Mailing Address - Zip Code:73023-0929
Mailing Address - Country:US
Mailing Address - Phone:405-896-8058
Mailing Address - Fax:855-223-1999
Practice Address - Street 1:304 S 29TH ST
Practice Address - Street 2:
Practice Address - City:CHICKASHA
Practice Address - State:OK
Practice Address - Zip Code:73018
Practice Address - Country:US
Practice Address - Phone:405-896-8058
Practice Address - Fax:855-223-1999
Is Sole Proprietor?:No
Enumeration Date:2017-06-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK110731363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200718920AOtherOKLAHOMA HEALTH CARE AUTHORITY
OK200718920AMedicaid
OK55758OtherOKLAHOMA BUREAU OF NARCOTICS AND DANGEROUS DRUGS CONTROL
OK55758OtherOKLAHOMA BUREAU OF NARCOTICS AND DANGEROUS DRUGS CONTROL