Provider Demographics
NPI:1750385381
Name:STEELE, JOANNE P (PHD, NP)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:P
Last Name:STEELE
Suffix:
Gender:
Credentials:PHD, NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:581 STEELE RD
Mailing Address - Street 2:
Mailing Address - City:SHUSHAN
Mailing Address - State:NY
Mailing Address - Zip Code:12873-2817
Mailing Address - Country:US
Mailing Address - Phone:518-796-0417
Mailing Address - Fax:518-636-1630
Practice Address - Street 1:69 MAIN STREET
Practice Address - Street 2:GREENWICH, NY 12834
Practice Address - City:GREENWICH
Practice Address - State:NY
Practice Address - Zip Code:12834
Practice Address - Country:US
Practice Address - Phone:518-796-0417
Practice Address - Fax:518-636-1630
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-10
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF000215-1367A00000X
NYF360468363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY363844OtherMVP