Healthcare Provider Details

I. General information

NPI: 1891947883
Provider Name (Legal Business Name): DESIREE ELISE STEINER R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2008
Last Update Date: 10/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 SW ARCHER RD
GAINESVILLE FL
32608-1135
US

IV. Provider business mailing address

188 SW ALJERNON CT
LAKE CITY FL
32024-4732
US

V. Phone/Fax

Practice location:
  • Phone: 352-374-6000
  • Fax:
Mailing address:
  • Phone: 386-754-4060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9232064
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN9232064
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN9232064
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: