Basic Information
Provider Information
NPI: 1356624555
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEINHAUER
FirstName: ASHLEY
MiddleName: P
NamePrefix: MRS.
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5959 S SHERWOOD FOREST BLVD
Address2:  
City: BATON ROUGE
State: LA
PostalCode: 708166038
CountryCode: US
TelephoneNumber: 2257655727
FaxNumber: 2257654278
Practice Location
Address1: 110 LAKEVIEW DR STE 200
Address2:  
City: COVINGTON
State: LA
PostalCode: 704337511
CountryCode: US
TelephoneNumber: 9858980589
FaxNumber: 9858922117
Other Information
ProviderEnumerationDate: 09/23/2011
LastUpdateDate: 03/02/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/02/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XAP06568LAN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
261QM2500XAP06568LAY Ambulatory Health Care FacilitiesClinic/CenterMedical Specialty

No ID Information.


Home