Provider Demographics
NPI:1386984474
Name:MCPETERS, STEADMAN LEE (CRNP)
Entity type:Individual
Prefix:MR
First Name:STEADMAN
Middle Name:LEE
Last Name:MCPETERS
Suffix:
Gender:M
Credentials:CRNP
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Mailing Address - Street 1:PO BOX 2705
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35804-2705
Mailing Address - Country:US
Mailing Address - Phone:256-801-6049
Mailing Address - Fax:256-801-6218
Practice Address - Street 1:910 ADAMS ST SE STE 310
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3757
Practice Address - Country:US
Practice Address - Phone:256-265-5833
Practice Address - Fax:256-265-5834
Is Sole Proprietor?:No
Enumeration Date:2013-02-26
Last Update Date:2021-05-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL1-106689363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics