Healthcare Provider Details

I. General information

NPI: 1346993581
Provider Name (Legal Business Name): DANITA STEIMLE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2022
Last Update Date: 01/28/2022
Certification Date: 01/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4247 WESTPORT RD
LOUISVILLE KY
40207-2227
US

IV. Provider business mailing address

194 PAGODA CT
SHEPHERDSVILLE KY
40165-8198
US

V. Phone/Fax

Practice location:
  • Phone: 502-398-3794
  • Fax:
Mailing address:
  • Phone: 502-398-7943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number1143692
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: