Provider Demographics
NPI:1316632920
Name:STEVES, MICHAELINE ALICIA (PMNP)
Entity type:Individual
Prefix:
First Name:MICHAELINE
Middle Name:ALICIA
Last Name:STEVES
Suffix:
Gender:F
Credentials:PMNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 HURRICANE CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:ANNA
Mailing Address - State:TX
Mailing Address - Zip Code:75409-3412
Mailing Address - Country:US
Mailing Address - Phone:214-918-4243
Mailing Address - Fax:
Practice Address - Street 1:850 HURRICANE CREEK CIR
Practice Address - Street 2:
Practice Address - City:ANNA
Practice Address - State:TX
Practice Address - Zip Code:75409-3412
Practice Address - Country:US
Practice Address - Phone:214-918-4243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-10
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.027495363LP0808X
TX1113513363LP0808X
COC-APN.0100612-C-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health