Provider Demographics
NPI:1619592615
Name:STEELE, ANN (FNP)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:
Last Name:STEELE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:951 YORK DR STE 102
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-2052
Mailing Address - Country:US
Mailing Address - Phone:972-746-7771
Mailing Address - Fax:
Practice Address - Street 1:2672 SHOREWOOD DR
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-6469
Practice Address - Country:US
Practice Address - Phone:414-803-9329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-15
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX867278163W00000X
NM61096363L00000X
NV832849363L00000X
CO0002133363L00000X
AZ247219363LP2300X
TX1006023363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX414058401Medicaid