Provider Demographics
NPI:1437401841
Name:STEAHR, JULIANNE M (APRN)
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:M
Last Name:STEAHR
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 EAGLE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:CT
Mailing Address - Zip Code:06426-1370
Mailing Address - Country:US
Mailing Address - Phone:860-227-6601
Mailing Address - Fax:
Practice Address - Street 1:40 EAGLE RIDGE DR
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:CT
Practice Address - Zip Code:06426-1370
Practice Address - Country:US
Practice Address - Phone:860-227-6601
Practice Address - Fax:860-788-4650
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-09
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT5117363LA2200X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health