Healthcare Provider Details

I. General information

NPI: 1114228400
Provider Name (Legal Business Name): KATHRYN ELIZABETH STEELE RN, APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2010
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

880 MADISON AVE
MEMPHIS TN
38103-3409
US

IV. Provider business mailing address

880 MADISON AVE
MEMPHIS TN
38103-3409
US

V. Phone/Fax

Practice location:
  • Phone: 901-515-3800
  • Fax: 901-515-3899
Mailing address:
  • Phone: 901-515-3800
  • Fax: 901-515-3896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number15325
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number15325
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: