Healthcare Provider Details

I. General information

NPI: 1881285823
Provider Name (Legal Business Name): OLIVE ASENETH STEED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2021
Last Update Date: 02/02/2021
Certification Date: 02/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3426 E HIDDEN SPRINGS DR
WASHINGTON UT
84780-2052
US

IV. Provider business mailing address

3426 E HIDDEN SPRINGS DR
WASHINGTON UT
84780-2052
US

V. Phone/Fax

Practice location:
  • Phone: 435-628-0555
  • Fax:
Mailing address:
  • Phone: 435-628-0555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: