Healthcare Provider Details

I. General information

NPI: 1740904317
Provider Name (Legal Business Name): CATHERINE KAY STEELE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2022
Last Update Date: 09/28/2022
Certification Date: 09/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 RIVERSIDE AVE STE 104
ADRIAN MI
49221-1469
US

IV. Provider business mailing address

2215 FULLER RD
ANN ARBOR MI
48105-2300
US

V. Phone/Fax

Practice location:
  • Phone: 734-222-7160
  • Fax: 734-845-3495
Mailing address:
  • Phone: 734-222-7160
  • Fax: 734-845-3495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number4704182350
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number4704182350
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: