Provider Demographics
NPI:1467341412
Name:STEEL, SHAUNEE JOLENNE (LVN)
Entity type:Individual
Prefix:
First Name:SHAUNEE
Middle Name:JOLENNE
Last Name:STEEL
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12486 LAKE WILDWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PENN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95946-9453
Mailing Address - Country:US
Mailing Address - Phone:530-300-5264
Mailing Address - Fax:
Practice Address - Street 1:12486 LAKE WILDWOOD DR
Practice Address - Street 2:
Practice Address - City:PENN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95946-9453
Practice Address - Country:US
Practice Address - Phone:530-300-5264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA752111164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse