Doctor Name: | DR. TERESA DALE SCHENCK |
NPI Number: | 1033437140 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DNP |
License Number: | A064498 |
Business Practice Address: | 400 N. 17th St Teresa Schenck Dnp Keokuk, IA - 52632 |
Business Phone Number: | 3195245734 |
Business Fax Number: | |
Mailing Address: | 400 N. 17th St, Teresa Schenck Dnp KEOKUK |
State: | IA |
Postal Code: | 52632 |
Phone Number: | 3195245734 |
Fax Number: | |
NPI Enumeration Date: | 05/13/2010 |
NPI Last Update Date: | 02/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | A064498 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |