Provider Demographics
NPI:1356381511
Name:STEELE, CINDY M (CNP)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:M
Last Name:STEELE
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55415-1623
Mailing Address - Country:US
Mailing Address - Phone:612-873-6005
Mailing Address - Fax:612-630-8242
Practice Address - Street 1:701 PARK AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55415-1623
Practice Address - Country:US
Practice Address - Phone:612-873-3128
Practice Address - Fax:612-904-4341
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN0391192-21363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN213665100Medicaid
MN023N3STOtherBLUE CROSS BLUE SHIELD
MN04-08770OtherMEDICA
MN213665100Medicaid
MN500003437Medicare Oscar/Certification
MN023N3STOtherBLUE CROSS BLUE SHIELD