Provider Demographics
NPI:1730771494
Name:STEINKAMP, CATHERINE ANN (NP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ANN
Last Name:STEINKAMP
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:ANN
Other - Last Name:WESSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:2024 DORCHESTER CT STE 1
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:IN
Mailing Address - Zip Code:46526-6546
Mailing Address - Country:US
Mailing Address - Phone:574-537-8326
Mailing Address - Fax:574-537-1034
Practice Address - Street 1:2024 DORCHESTER CT STE 1
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:IN
Practice Address - Zip Code:46526-6546
Practice Address - Country:US
Practice Address - Phone:574-537-8326
Practice Address - Fax:574-537-1034
Is Sole Proprietor?:No
Enumeration Date:2021-02-04
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71010850A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300047851Medicaid