Provider Demographics
NPI:1740904317
Name:STEELE, CATHERINE KAY (RN)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:KAY
Last Name:STEELE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2215 FULLER RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-2300
Mailing Address - Country:US
Mailing Address - Phone:734-222-7160
Mailing Address - Fax:734-845-3495
Practice Address - Street 1:770 RIVERSIDE AVE STE 104
Practice Address - Street 2:
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-1469
Practice Address - Country:US
Practice Address - Phone:734-222-7160
Practice Address - Fax:734-845-3495
Is Sole Proprietor?:No
Enumeration Date:2022-09-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704182350163W00000X, 163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163W00000XNursing Service ProvidersRegistered Nurse