Provider Demographics
NPI:1861702409
Name:STECKER, NICOLE SUNSET (CD(DONA))
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:SUNSET
Last Name:STECKER
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6032 4TH AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55419-2511
Mailing Address - Country:US
Mailing Address - Phone:612-247-3672
Mailing Address - Fax:
Practice Address - Street 1:6032 4TH AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55419-2511
Practice Address - Country:US
Practice Address - Phone:612-247-3672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula