Provider Demographics
NPI:1992035943
Name:MAIER, STEFFANI T (CNP)
Entity Type:Individual
Prefix:
First Name:STEFFANI
Middle Name:T
Last Name:MAIER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:STEFFANI
Other - Middle Name:T
Other - Last Name:HARRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3333 BURNET AVE # MLC7015
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3026
Mailing Address - Country:US
Mailing Address - Phone:513-636-4266
Mailing Address - Fax:513-636-3549
Practice Address - Street 1:3333 BURNET AVE # MLC5021
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3026
Practice Address - Country:US
Practice Address - Phone:513-636-4266
Practice Address - Fax:513-636-3549
Is Sole Proprietor?:No
Enumeration Date:2010-01-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO100106363LF0000X
CO990089363LF0000X
GARN257389363LF0000X
OHAPRN.CNP.11226363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO023105OtherKAISER COMMERCIAL NUMBER
CO47336048Medicaid
CO023105OtherKAISER COMMERCIAL NUMBER