Provider Demographics
NPI:1588765598
Name:STEINY, KABITA MICHELLE (FNP-C)
Entity type:Individual
Prefix:
First Name:KABITA
Middle Name:MICHELLE
Last Name:STEINY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 BLOSSOM HILL RD STE A
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-4564
Mailing Address - Country:US
Mailing Address - Phone:408-703-4600
Mailing Address - Fax:831-425-0877
Practice Address - Street 1:640 BLOSSOM HILL RD STE A
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-4564
Practice Address - Country:US
Practice Address - Phone:408-703-4600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANPF14729363LP2300X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAQ22135Medicare UPIN