Provider Demographics
NPI:1396147880
Name:STEIGER, SHONETTE (RN)
Entity type:Individual
Prefix:MS
First Name:SHONETTE
Middle Name:
Last Name:STEIGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:SHONETTE
Other - Middle Name:
Other - Last Name:STEIGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:3042 23RD AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94602-1518
Mailing Address - Country:US
Mailing Address - Phone:510-289-4925
Mailing Address - Fax:
Practice Address - Street 1:3042 23RD AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94602-1518
Practice Address - Country:US
Practice Address - Phone:510-289-4925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-16
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA470752163W00000X, 163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163W00000XNursing Service ProvidersRegistered Nurse