Provider Demographics
NPI:1528534484
Name:STEINHAUER, JENNIFER A (LPN)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:STEINHAUER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:A
Other - Last Name:SANDORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:220 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:ELMIRA HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:14903-1525
Mailing Address - Country:US
Mailing Address - Phone:607-302-2884
Mailing Address - Fax:
Practice Address - Street 1:220 W 10TH ST
Practice Address - Street 2:
Practice Address - City:ELMIRA HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:14903-1525
Practice Address - Country:US
Practice Address - Phone:607-302-2884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-18
Last Update Date:2018-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY326309164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse