MEDICARE: MRS. MICHELLE NICOLE STEELE

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	164W00000X	Licensed Practical Nurse	PN129216IV	OH
2	163W00000X	Registered Nurse	RN.386598	OH

General Provider Information

NPI Number	:	1558687723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELLE NICOLE STEELE

Provider Business Mailing Address
First Line	:	2432 FULBOURNE DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-1827
Country	:	US
Telephone Number	:	513-203-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2432 FULBOURNE DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-1827
Country	:	US
Telephone Number	:	513-203-9000
Fax Number	:

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

Provider Enumeration Date	:	04/13/2010
Last Update Date	:	04/10/2013

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