Healthcare Provider Details

I. General information

NPI: 1659670289
Provider Name (Legal Business Name): WENDY CHRISTINE STEINKRAUS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2011
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6938 ELM VALLEY DR
KALAMAZOO MI
49009-7436
US

IV. Provider business mailing address

42 N SAINT JOSEPH AVE SUITE 201
NILES MI
49120-2203
US

V. Phone/Fax

Practice location:
  • Phone: 269-552-4233
  • Fax: 269-552-4216
Mailing address:
  • Phone: 269-684-6696
  • Fax: 269-684-5286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704220920
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: