Provider Demographics
NPI:1265668834
Name:STEDDUM, RHNAE LYNN
Entity Type:Individual
Prefix:MS
First Name:RHNAE
Middle Name:LYNN
Last Name:STEDDUM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8518 LIMERICK ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-2419
Mailing Address - Country:US
Mailing Address - Phone:316-640-0069
Mailing Address - Fax:
Practice Address - Street 1:8518 LIMERICK ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-2419
Practice Address - Country:US
Practice Address - Phone:316-640-0069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-41600-011163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management