Provider Demographics
NPI:1700943263
Name:STEELE-PERKINS, SHANNA LEE (APN)
Entity Type:Individual
Prefix:
First Name:SHANNA
Middle Name:LEE
Last Name:STEELE-PERKINS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3804 HIGHWAY 377 S
Mailing Address - Street 2:
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76801-5120
Mailing Address - Country:US
Mailing Address - Phone:254-893-5895
Mailing Address - Fax:254-893-5222
Practice Address - Street 1:1100 W REYNOSA AVE
Practice Address - Street 2:
Practice Address - City:DE LEON
Practice Address - State:TX
Practice Address - Zip Code:76444-1630
Practice Address - Country:US
Practice Address - Phone:254-893-5895
Practice Address - Fax:254-893-5222
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX241825363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily