Provider Demographics
NPI:1881416121
Name:THOMAS, STEFFANIE (CD)
Entity type:Individual
Prefix:MRS
First Name:STEFFANIE
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1478 BROOKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:HIGH RIDGE
Mailing Address - State:MO
Mailing Address - Zip Code:63049-1312
Mailing Address - Country:US
Mailing Address - Phone:314-349-8916
Mailing Address - Fax:
Practice Address - Street 1:1478 BROOKSIDE DR
Practice Address - Street 2:
Practice Address - City:HIGH RIDGE
Practice Address - State:MO
Practice Address - Zip Code:63049-1312
Practice Address - Country:US
Practice Address - Phone:314-349-8916
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula