Healthcare Provider Details
I. General information
NPI: 1649201260
Provider Name (Legal Business Name): KRISTIN MICHELE STEINKE APRN-C, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/05/2006
Last Update Date: 06/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
112 HERFF RD STE 110
BOERNE TX
78006-2747
US
IV. Provider business mailing address
29454 NO LE HACE DR
FAIR OAKS RANCH TX
78015-4513
US
V. Phone/Fax
- Phone: 830-331-8585
- Fax: 830-331-8586
- Phone: 210-833-1712
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | 727619 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: