Healthcare Provider Details

I. General information

NPI: 1447180088
Provider Name (Legal Business Name): TINA L STEEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6479 HICKORY LN
BURTON MI
48509-9303
US

IV. Provider business mailing address

6479 HICKORY LN
BURTON MI
48509-9303
US

V. Phone/Fax

Practice location:
  • Phone: 810-874-2294
  • Fax: 810-874-2294
Mailing address:
  • Phone: 810-874-2294
  • Fax: 810-874-2294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376G00000X
TaxonomyNursing Home Administrator
License Number93-4107988
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: