Healthcare Provider Details
I. General information
NPI: 1083696660
Provider Name (Legal Business Name): NANETTE I STEINLE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/18/2005
Last Update Date: 01/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
827 LINDEN AVE FLOOR 2, SOUTH
BALTIMORE MD
21201-4606
US
IV. Provider business mailing address
PO BOX 64442
BALTIMORE MD
21264-4442
US
V. Phone/Fax
- Phone: 443-682-6800
- Fax: 443-552-2991
- Phone: 410-328-8040
- Fax: 443-462-3514
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RE0101X |
| Taxonomy | Endocrinology, Diabetes & Metabolism Physician |
| License Number | D0052623 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: