Provider Demographics
NPI:1184028128
Name:STEINLAGE, TANYA MICHELE (APRN-FNP)
Entity type:Individual
Prefix:MRS
First Name:TANYA
Middle Name:MICHELE
Last Name:STEINLAGE
Suffix:
Gender:F
Credentials:APRN-FNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6352 BRECKENRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-6823
Mailing Address - Country:US
Mailing Address - Phone:620-794-7846
Mailing Address - Fax:
Practice Address - Street 1:8756 BOYNTON BEACH BLVD
Practice Address - Street 2:SUITE 150
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33472-4437
Practice Address - Country:US
Practice Address - Phone:561-740-2273
Practice Address - Fax:561-369-8678
Is Sole Proprietor?:No
Enumeration Date:2014-10-20
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP9438626363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIW121ZMedicare PIN