Provider Demographics
NPI:1275860827
Name:STEINHOUR, AMY L (PA-C)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:L
Last Name:STEINHOUR
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7331 COLLEGE PKWY
Mailing Address - Street 2:300
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-5524
Mailing Address - Country:US
Mailing Address - Phone:239-337-2003
Mailing Address - Fax:239-337-1483
Practice Address - Street 1:7331 COLLEGE PKWY
Practice Address - Street 2:300
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-5524
Practice Address - Country:US
Practice Address - Phone:239-337-2003
Practice Address - Fax:239-337-1483
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-03
Last Update Date:2016-05-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9104781363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDF717XMedicare UPIN