Doctor Name: | MRS. AMY J TEGELS |
NPI Number: | 1023213162 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | A-117058 |
Business Practice Address: | 211 S 23rd St Plattsmouth, NE - 680482903 |
Business Phone Number: | 4022984347 |
Business Fax Number: | 4022984349 |
Mailing Address: | 211 S 23rd St, PLATTSMOUTH |
State: | NE |
Postal Code: | 680482903 |
Phone Number: | 4022984347 |
Fax Number: | 4022984349 |
NPI Enumeration Date: | 06/19/2007 |
NPI Last Update Date: | 05/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A-117058 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |