Provider Demographics
NPI:1376615674
Name:STEEPLES, ROXANNE RANAE (IP)
Entity Type:Individual
Prefix:MS
First Name:ROXANNE
Middle Name:RANAE
Last Name:STEEPLES
Suffix:
Gender:F
Credentials:IP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9388 KATTERMAN RD
Mailing Address - Street 2:
Mailing Address - City:SARDINIA
Mailing Address - State:OH
Mailing Address - Zip Code:45171-9336
Mailing Address - Country:US
Mailing Address - Phone:937-446-3868
Mailing Address - Fax:937-446-3868
Practice Address - Street 1:9388 KATTERMAN RD
Practice Address - Street 2:
Practice Address - City:SARDINIA
Practice Address - State:OH
Practice Address - Zip Code:45171-9336
Practice Address - Country:US
Practice Address - Phone:937-446-3868
Practice Address - Fax:937-446-3868
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2533164Medicaid