Healthcare Provider Details

I. General information

NPI: 1922067685
Provider Name (Legal Business Name): JULIE ANN STEFFEN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 04/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3552 S 57TH ST
MILWAUKEE WI
53220-1409
US

IV. Provider business mailing address

3552 S 57TH ST
MILWAUKEE WI
53220-1409
US

V. Phone/Fax

Practice location:
  • Phone: 414-545-6263
  • Fax:
Mailing address:
  • Phone: 414-545-6263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number92073-030
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number92073-030
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: