Provider Demographics
NPI:1669748869
Name:STEPP, JAMES ALAN (RN)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ALAN
Last Name:STEPP
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:S94W12560 COTTONTAIL CT
Mailing Address - Street 2:
Mailing Address - City:MUSKEGO
Mailing Address - State:WI
Mailing Address - Zip Code:53150-4648
Mailing Address - Country:US
Mailing Address - Phone:414-731-7219
Mailing Address - Fax:
Practice Address - Street 1:S94W12560 COTTONTAIL CT
Practice Address - Street 2:
Practice Address - City:MUSKEGO
Practice Address - State:WI
Practice Address - Zip Code:53150-4648
Practice Address - Country:US
Practice Address - Phone:414-731-7219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163009-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse