MEDICARE: DEBORAH THOMAS STEIB FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner	221555	LA
2	363L00000X	Nurse Practitioner	221555	LA

General Provider Information

NPI Number	:	1942872692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH THOMAS STEIB FNP-C

Provider Business Mailing Address
First Line	:	4823 WAYWOOD DR
Second Line	:
City	:	ZACHARY
State	:	LA
Zip	:	70791-2401
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3955 GOVERNMENT ST STE 2
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-5755
Country	:	US
Telephone Number	:	225-245-9998
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2021
Last Update Date	:	11/23/2021

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