Provider Demographics
NPI:1205016151
Name:STEEL, RICHARD E (ARNP)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:E
Last Name:STEEL
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1207
Mailing Address - Street 2:DEPT 5391
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53201-1207
Mailing Address - Country:US
Mailing Address - Phone:866-258-7963
Mailing Address - Fax:
Practice Address - Street 1:2334 SE WASHINGTON BLVD STE B&D
Practice Address - Street 2:PHYSICIANS IMMEDIATE CARE
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-7256
Practice Address - Country:US
Practice Address - Phone:918-331-9184
Practice Address - Fax:918-331-9187
Is Sole Proprietor?:No
Enumeration Date:2007-11-08
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK85955363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK900522529Medicare PIN