Provider Demographics
NPI:1275588121
Name:STEEN, SHERILL LYNN (PA)
Entity Type:Individual
Prefix:
First Name:SHERILL
Middle Name:LYNN
Last Name:STEEN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97 CORNERSTONE DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-8403
Mailing Address - Country:US
Mailing Address - Phone:919-460-0993
Mailing Address - Fax:919-481-3952
Practice Address - Street 1:97 CORNERSTONE DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-8403
Practice Address - Country:US
Practice Address - Phone:919-460-0993
Practice Address - Fax:919-481-3952
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101836363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant