Provider Demographics
NPI:1659670289
Name:STEINKRAUS, WENDY CHRISTINE (FNP)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:CHRISTINE
Last Name:STEINKRAUS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:42 N SAINT JOSEPH AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NILES
Mailing Address - State:MI
Mailing Address - Zip Code:49120-2203
Mailing Address - Country:US
Mailing Address - Phone:269-684-6696
Mailing Address - Fax:269-684-5286
Practice Address - Street 1:6938 ELM VALLEY DR
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-7436
Practice Address - Country:US
Practice Address - Phone:269-552-4233
Practice Address - Fax:269-552-4216
Is Sole Proprietor?:No
Enumeration Date:2011-03-22
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704220920363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1659670289Medicaid
MI1659670289Medicaid