Provider Demographics
NPI:1508286469
Name:STEEL, MICHELLE G
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:G
Last Name:STEEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:G
Other - Last Name:STEEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:13019 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:OH
Mailing Address - Zip Code:43080-9526
Mailing Address - Country:US
Mailing Address - Phone:614-203-1978
Mailing Address - Fax:
Practice Address - Street 1:13019 NORTH ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:OH
Practice Address - Zip Code:43080-9526
Practice Address - Country:US
Practice Address - Phone:614-203-1978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-18
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN367363163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse