Provider Demographics
NPI:1487123105
Name:STEINER, LAURA N (CPNP-PC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:N
Last Name:STEINER
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12172 LADUE HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:CREVE COEUR
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6618
Mailing Address - Country:US
Mailing Address - Phone:314-616-5464
Mailing Address - Fax:
Practice Address - Street 1:GATEWAY PEDIATRICS, LTD
Practice Address - Street 2:12255 DEPAUL DRIVE, SUITE 460 NORTH MEDICAL BUILDING
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044
Practice Address - Country:US
Practice Address - Phone:314-770-2300
Practice Address - Fax:314-770-1843
Is Sole Proprietor?:No
Enumeration Date:2018-11-26
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011004052163W00000X
MO2018008869363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse