Provider Demographics
NPI:1144451196
Name:STEELE, MEGHAN S (MSN, NP-C, PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:S
Last Name:STEELE
Suffix:
Gender:F
Credentials:MSN, NP-C, PMHNP-BC
Other - Prefix:MS
Other - First Name:MEGHAN
Other - Middle Name:S
Other - Last Name:CARR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, NP-C, PMHNP-BC
Mailing Address - Street 1:500 SUPERIOR AVE STE 315
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-3660
Mailing Address - Country:US
Mailing Address - Phone:310-998-7883
Mailing Address - Fax:
Practice Address - Street 1:500 SUPERIOR AVE STE 315
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3660
Practice Address - Country:US
Practice Address - Phone:310-998-7883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19281363LP0808X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
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