MEDICARE: MRS. MARSHA N STEADMAN CFNP

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	363LF0000X	Family Nurse Practitioner	R857911	MS

General Provider Information

NPI Number	:	1366690950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARSHA N STEADMAN CFNP

Provider Business Mailing Address
First Line	:	801 1ST ST
Second Line	:
City	:	CLEVELAND
State	:	MS
Zip	:	38732-2309
Country	:	US
Telephone Number	:	662-843-0880
Fax Number	:	662-843-0886

Provider Business Practice Location Address
First Line	:	801 1ST ST
Second Line	:
City	:	CLEVELAND
State	:	MS
Zip	:	38732-2309
Country	:	US
Telephone Number	:	662-843-0880
Fax Number	:	662-843-0886

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

Provider Enumeration Date	:	09/08/2008
Last Update Date	:	09/08/2008

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