MEDICARE: STEFFY ELIZABETH GEORGE

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	357855	NY

General Provider Information

NPI Number	:	1497604110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEFFY ELIZABETH GEORGE

Provider Business Mailing Address
First Line	:	4405 REDPATH DR
Second Line	:
City	:	ENID
State	:	OK
Zip	:	73703-5077
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4405 REDPATH DR
Second Line	:
City	:	ENID
State	:	OK
Zip	:	73703-5077
Country	:	US
Telephone Number	:	516-939-3926
Fax Number	:

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

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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Directions to “ STEFFY ELIZABETH GEORGE ” Practice Location

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