Doctor Name: | TOYA TERESE SCHMIDTKE |
NPI Number: | 1861480154 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | |
Business Practice Address: | Minnesota State University, Mankato 21 Carkoski Commons Mankato, MN - 56001 |
Business Phone Number: | 5073896276 |
Business Fax Number: | 5073895787 |
Mailing Address: | 17132 500th Ln, WATERVILLE |
State: | MN |
Postal Code: | 560964144 |
Phone Number: | 5073628394 |
Fax Number: | |
NPI Enumeration Date: | 10/11/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |