1619216603 NPI number — MRS. DARLETTA MAY STEINMETZ MSN, ANP-BC

Table of content: MRS. DARLETTA MAY STEINMETZ MSN, ANP-BC (NPI 1619216603)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619216603 NPI number — MRS. DARLETTA MAY STEINMETZ MSN, ANP-BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STEINMETZ
Provider First Name:
DARLETTA
Provider Middle Name:
MAY
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MSN, ANP-BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BRIGNER
Provider Other First Name:
DARLETTA
Provider Other Middle Name:
MAY
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSN, ANP-BC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1619216603
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/11/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8332 STEWARTS BEND DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MURFREESBORO
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37129-2542
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-305-0306
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3163 S CHURCH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MURFREESBORO
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37127-7174
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-624-6643
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/11/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LA2100X , with the licence number:  17369 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com