Basic Information
| Provider Information | |||||||||
| NPI: | 1730330549 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STEELY | ||||||||
| FirstName: | BARBARA | ||||||||
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| Credential: | R.N., BSN, CNOR, | ||||||||
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| Mailing Information | |||||||||
| Address1: | 787 WEATHERLY DR | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | CLARKSVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 370438949 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9315520380 | ||||||||
| FaxNumber: | 9315513157 | ||||||||
| Practice Location | |||||||||
| Address1: | 787 WEATHERLY DR | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | CLARKSVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 370438949 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9315520380 | ||||||||
| FaxNumber: | 9315513157 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/10/2008 | ||||||||
| LastUpdateDate: | 01/15/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN0000071244 | TN | N | Nursing Service Providers | Registered Nurse | 163WR0006X | RN0000071244 | TN | Y | Nursing Service Providers | Registered Nurse | Registered Nurse First Assistant |
No ID Information.