DIANE MARGARET TEADTKE


Address: 52518 890 Rd, Niobrara, NE 68760-7003
Phone: 4028573350

DIANE MARGARET TEADTKE (NPI# 1881233070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881233070
Entity Type Individual
Full Name DIANE MARGARET TEADTKE
Credential APRN, PMHNP-BC
Practice Address 52518 890 Rd
Niobrara
NE 68760-7003
Practice Telephone 4028573350
Mailing Telephone 4028573350
Enumeration Date 2020-01-05
Last Update Date 2020-01-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
113002 NE Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 52518 890 RD
City NIOBRARA
State NE
Zip Code 68760-7003

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1750474755 Danielle Wallinga Physician Assistant 25410 Park Ave, Apartment E, Niobrara, NE 68760-7044 2006-10-02
1659854537 Chelsey Renee Chohon Registered Nurse 247 N Highway 12, Niobrara, NE 68760-7070 2018-09-07
1922025527 Lanny Turner Emergency Medicine 110 S Visiting Eagle St, Santee Health Clinic, Niobrara, NE 68760-7201 2006-07-17
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1871092353 Janette Elaine Thomas Stallings Nurse Practitioner 706 N 129th St Ste 111, Omaha, NE 68154-6116 2018-02-09
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1356885024 Pro Care Mental Health Inc Nurse Practitioner 421 S 243rd St, Waterloo, NE 68069-4704 2016-12-14
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Competitor

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City NIOBRARA
Zip Code 68760

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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