Healthcare Provider Details

I. General information

NPI: 1417909219
Provider Name (Legal Business Name): JULIE M STEELE C.R.N.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE M EVANS

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 01/03/2024
Certification Date: 01/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 PLEASANT ST.
CONCORD NH
03301-7559
US

IV. Provider business mailing address

250 PLEASANT ST
CONCORD NH
03301-7559
US

V. Phone/Fax

Practice location:
  • Phone: 603-789-9103
  • Fax: 603-227-7832
Mailing address:
  • Phone: 603-789-9103
  • Fax: 603-227-7832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number444552
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number062101-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: