Provider Demographics
NPI:1962759464
Name:STEEN, ANNIE J (FNP-C)
Entity type:Individual
Prefix:
First Name:ANNIE
Middle Name:J
Last Name:STEEN
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:ANNIE
Other - Middle Name:J
Other - Last Name:KITZMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C
Mailing Address - Street 1:PO BOX 5010
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58702-5010
Mailing Address - Country:US
Mailing Address - Phone:701-418-8000
Mailing Address - Fax:
Practice Address - Street 1:831 S BROADWAY
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-4636
Practice Address - Country:US
Practice Address - Phone:701-857-3244
Practice Address - Fax:701-857-5171
Is Sole Proprietor?:No
Enumeration Date:2012-08-14
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR31232363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND1453682Medicaid
NDN718074Medicare PIN