Basic Information
Provider Information
NPI: 1801326905
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEELE
FirstName: ANDREA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4505 NW FIELDING RD
Address2:  
City: TOPEKA
State: KS
PostalCode: 666182651
CountryCode: US
TelephoneNumber: 7852700080
FaxNumber: 7852700001
Practice Location
Address1: 901 SW GARFIELD AVE
Address2:  
City: TOPEKA
State: KS
PostalCode: 666061670
CountryCode: US
TelephoneNumber: 7853549591
FaxNumber: 7853680707
Other Information
ProviderEnumerationDate: 06/13/2017
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/22/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X77709KSY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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