Provider Demographics
NPI:1700659992
Name:STEENROD, HEIDI LYNN (RN, CFNC)
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:LYNN
Last Name:STEENROD
Suffix:
Gender:F
Credentials:RN, CFNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7345 KNOLL CT
Mailing Address - Street 2:
Mailing Address - City:TEMPERANCE
Mailing Address - State:MI
Mailing Address - Zip Code:48182-9689
Mailing Address - Country:US
Mailing Address - Phone:419-250-3623
Mailing Address - Fax:
Practice Address - Street 1:7345 KNOLL CT
Practice Address - Street 2:
Practice Address - City:TEMPERANCE
Practice Address - State:MI
Practice Address - Zip Code:48182-9689
Practice Address - Country:US
Practice Address - Phone:419-250-3623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704237812163W00000X, 163WC0400X, 163WC1500X, 163WC1600X, 163WN0800X, 163WN1003X
OHRN.253776163WC0400X, 163WC1500X, 163WC1600X, 163WN0800X, 163WN1003X, 163W00000X
171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No163WN0800XNursing Service ProvidersRegistered NurseNeuroscience
No163WN1003XNursing Service ProvidersRegistered NurseNutrition Support
No171400000XOther Service ProvidersHealth & Wellness Coach