MEDICARE: ELIZABETH A STEGER RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WD0400X	Diabetes Educator Registered Nurse	196793-30	WI

General Provider Information

NPI Number	:	1316800857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH A STEGER RN

Provider Business Mailing Address
First Line	:	430 E DIVISION ST
Second Line	:
City	:	FOND DU LAC
State	:	WI
Zip	:	54935-4560
Country	:	US
Telephone Number	:	920-926-4530
Fax Number	:

Provider Business Practice Location Address
First Line	:	430 E DIVISION ST
Second Line	:
City	:	FOND DU LAC
State	:	WI
Zip	:	54935-4560
Country	:	US
Telephone Number	:	920-926-4530
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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