Healthcare Provider Details

I. General information

NPI: 1508286469
Provider Name (Legal Business Name): MICHELLE G STEEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MICHELLE G STEEL

II. Dates (important events)

Enumeration Date: 04/18/2014
Last Update Date: 04/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13019 NORTH ST
UTICA OH
43080-9526
US

IV. Provider business mailing address

13019 NORTH ST
UTICA OH
43080-9526
US

V. Phone/Fax

Practice location:
  • Phone: 614-203-1978
  • Fax:
Mailing address:
  • Phone: 614-203-1978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN367363
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: