Basic Information
| Provider Information | |||||||||
| NPI: | 1295964286 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STEERE | ||||||||
| FirstName: | ASHLEY | ||||||||
| MiddleName: | ANNE | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LVN, RN | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | NOONAN | ||||||||
| OtherFirstName: | ASHLEY | ||||||||
| OtherMiddleName: | ANNE | ||||||||
| OtherNamePrefix: | MS. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | LVN | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 1465 N 6TH PL | ||||||||
| Address2: | |||||||||
| City: | PORT HUENEME | ||||||||
| State: | CA | ||||||||
| PostalCode: | 930412407 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8186535816 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1722 S LEWIS RD | ||||||||
| Address2: | |||||||||
| City: | CAMARILLO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 930128520 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8054457832 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2009 | ||||||||
| LastUpdateDate: | 08/19/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 164X00000X | VN240611 | CA | N | Nursing Service Providers | Licensed Vocational Nurse | 163WP0807X | 798391 | CA | Y | Nursing Service Providers | Registered Nurse | Psych/Mental Health, Child & Adolescent | 163WP0200X | 798391 | CA | N | Nursing Service Providers | Registered Nurse | Pediatrics |
No ID Information.