Provider Demographics
NPI:1407891245
Name:STEELE, KATRINA M (DC, FNP-C)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:M
Last Name:STEELE
Suffix:
Gender:F
Credentials:DC, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 532014
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75053
Mailing Address - Country:US
Mailing Address - Phone:469-231-7553
Mailing Address - Fax:
Practice Address - Street 1:905 FERRIS AVE
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-2556
Practice Address - Country:US
Practice Address - Phone:729-370-0086
Practice Address - Fax:972-923-2351
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9533111N00000X
TX1001391363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No111N00000XChiropractic ProvidersChiropractor