Provider Demographics
NPI:1881952513
Name:STEINER, KELLY DIANE (ANP-BC)
Entity type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:DIANE
Last Name:STEINER
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2252 MILLCREST TER
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-4397
Mailing Address - Country:US
Mailing Address - Phone:804-379-4478
Mailing Address - Fax:
Practice Address - Street 1:7001 FOREST AVE
Practice Address - Street 2:SUITE 2500
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-1726
Practice Address - Country:US
Practice Address - Phone:804-287-7570
Practice Address - Fax:804-282-7394
Is Sole Proprietor?:No
Enumeration Date:2012-05-01
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024169956363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health