Healthcare Provider Details

I. General information

NPI: 1316632920
Provider Name (Legal Business Name): MICHAELINE ALICIA STEVES PMNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2023
Last Update Date: 10/02/2024
Certification Date: 10/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 HURRICANE CREEK CIR
ANNA TX
75409-3412
US

IV. Provider business mailing address

850 HURRICANE CREEK CIR
ANNA TX
75409-3412
US

V. Phone/Fax

Practice location:
  • Phone: 214-918-4243
  • Fax:
Mailing address:
  • Phone: 214-918-4243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number209.027495
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1113513
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberC-APN.0100612-C-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: