Healthcare Provider Details

I. General information

NPI: 1780328617
Provider Name (Legal Business Name): CASSANDRA ROSE STEINER DPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2022
Last Update Date: 08/24/2023
Certification Date: 08/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 CALLE PORTAL STE 700
SIERRA VISTA AZ
85635-2973
US

IV. Provider business mailing address

9300 E VALENCIA RD APT 1101
TUCSON AZ
85747-4915
US

V. Phone/Fax

Practice location:
  • Phone: 520-459-0203
  • Fax:
Mailing address:
  • Phone: 520-591-6053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN210506
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number296636
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: