Healthcare Provider Details

I. General information

NPI: 1558471771
Provider Name (Legal Business Name): JANE MARIE STEUART RN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 11/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

329 W FRANKLIN ST
TUCSON AZ
85701-8207
US

IV. Provider business mailing address

82 S STONE AVE
TUCSON AZ
85701-1713
US

V. Phone/Fax

Practice location:
  • Phone: 520-884-5249
  • Fax: 520-547-3395
Mailing address:
  • Phone: 520-792-3293
  • Fax: 520-792-4336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN039260
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: