Provider Demographics
NPI:1720045388
Name:STEINHOFF, SUSAN M (LPN)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:M
Last Name:STEINHOFF
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1602 GLEN ANNA DR
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:WI
Mailing Address - Zip Code:53024-2709
Mailing Address - Country:US
Mailing Address - Phone:262-377-3852
Mailing Address - Fax:
Practice Address - Street 1:355 W HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:WI
Practice Address - Zip Code:53024-2256
Practice Address - Country:US
Practice Address - Phone:262-377-0832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI31893-031164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse