Provider Demographics
NPI:1487999504
Name:STEELE, SUSAN M (FNP)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:M
Last Name:STEELE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 WHITING HILL RD
Mailing Address - Street 2:SUITE 33
Mailing Address - City:BREWER
Mailing Address - State:ME
Mailing Address - Zip Code:04412-1021
Mailing Address - Country:US
Mailing Address - Phone:207-973-9700
Mailing Address - Fax:
Practice Address - Street 1:33 WHITING HILL RD
Practice Address - Street 2:SUITE 33
Practice Address - City:BREWER
Practice Address - State:ME
Practice Address - Zip Code:04412-1021
Practice Address - Country:US
Practice Address - Phone:207-973-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-29
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP121107363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily