Provider Demographics
NPI:1568649002
Name:STEINMETZ, JEANNE MULLIN (APRN)
Entity Type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:MULLIN
Last Name:STEINMETZ
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 1:4 LIBERTY ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-6782
Mailing Address - Country:US
Mailing Address - Phone:203-730-5217
Mailing Address - Fax:203-739-1558
Practice Address - Street 1:4 LIBERTY ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-6782
Practice Address - Country:US
Practice Address - Phone:203-730-5217
Practice Address - Fax:203-739-1558
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002024363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics