Healthcare Provider Details

I. General information

NPI: 1588765598
Provider Name (Legal Business Name): KABITA MICHELLE STEINY FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18880 CHERRY VALLEY BLVD
TUOLUMNE CA
95379-9506
US

IV. Provider business mailing address

18880 CHERRY VALLEY BLVD
TUOLUMNE CA
95379-9506
US

V. Phone/Fax

Practice location:
  • Phone: 209-928-5400
  • Fax: 209-928-5410
Mailing address:
  • Phone: 209-928-5400
  • Fax: 209-928-5410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberNPF14729
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: