Provider Demographics
NPI:1497306856
Name:STEELE, JANIS LYNN (RN)
Entity Type:Individual
Prefix:
First Name:JANIS
Middle Name:LYNN
Last Name:STEELE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 W 12TH ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:WA
Mailing Address - Zip Code:98520-1821
Mailing Address - Country:US
Mailing Address - Phone:360-580-8958
Mailing Address - Fax:
Practice Address - Street 1:1801 BAY AVE
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:WA
Practice Address - Zip Code:98520-5510
Practice Address - Country:US
Practice Address - Phone:360-538-2162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-26
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00166373163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool