Provider Demographics
NPI:1336783638
Name:STEELE, SUZANNE MAURENE
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:MAURENE
Last Name:STEELE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WHITE SULPHUR SPRINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59645-9208
Mailing Address - Country:US
Mailing Address - Phone:406-547-4182
Mailing Address - Fax:
Practice Address - Street 1:705 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WHITE SULPHUR SPRINGS
Practice Address - State:MT
Practice Address - Zip Code:59645-9208
Practice Address - Country:US
Practice Address - Phone:406-547-4182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-30
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty