Provider Demographics
NPI:1407600257
Name:STEINHAUER, TAYLOR (PA)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:STEINHAUER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9806 E LOUISIANA DR APT 102
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80247-2447
Mailing Address - Country:US
Mailing Address - Phone:541-852-5384
Mailing Address - Fax:
Practice Address - Street 1:9806 E LOUISIANA DR APT 102
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80247-2447
Practice Address - Country:US
Practice Address - Phone:541-852-5384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-16
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPA0008658363A00000X
COPA.0008658207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant