Provider Demographics
NPI:1770721490
Name:STEIMLE, THERESA ANNE (PA)
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:ANNE
Last Name:STEIMLE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 NW MAYNARD RD STE 110
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-8707
Mailing Address - Country:US
Mailing Address - Phone:919-781-8780
Mailing Address - Fax:197-818-7829
Practice Address - Street 1:1100 NW MAYNARD RD STE 110
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-8707
Practice Address - Country:US
Practice Address - Phone:919-781-8780
Practice Address - Fax:919-781-8782
Is Sole Proprietor?:No
Enumeration Date:2009-02-03
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-01678363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant