Healthcare Provider Details

I. General information

NPI: 1164081733
Provider Name (Legal Business Name): MS. KAREN M STEFFES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2019
Last Update Date: 07/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35900 EUCLID AVE
WILLOUGHBY OH
44094-4623
US

IV. Provider business mailing address

1230 BELROSE RD
MAYFIELD HEIGHTS OH
44124-1529
US

V. Phone/Fax

Practice location:
  • Phone: 440-953-3000
  • Fax:
Mailing address:
  • Phone: 440-241-1255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN410709
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.025235
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: