Provider Demographics
NPI:1649201260
Name:STEINKE, KRISTIN MICHELE (APRN-C, RN)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:MICHELE
Last Name:STEINKE
Suffix:
Gender:F
Credentials:APRN-C, RN
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:MICHELE
Other - Last Name:HARTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:29454 NO LE HACE DR
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS RANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78015-4513
Mailing Address - Country:US
Mailing Address - Phone:210-833-1712
Mailing Address - Fax:
Practice Address - Street 1:112 HERFF RD STE 110
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-2747
Practice Address - Country:US
Practice Address - Phone:830-331-8585
Practice Address - Fax:830-331-8586
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX727619363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8J3308Medicare PIN
TXP29234Medicare UPIN