Individual
TERESA SIEFKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, AGACNP-BC
Contact information
Practice address
9000 N MAIN ST, ENGLEWOOD, OH 45415-1180
(937) 208-8394
(937) 208-8388
Mailing address
3170 KETTERING BLVD BLDG B3, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
71013185A
IN
363LA2100X
Acute Care Nurse Practitioner
APRN11019111
FL
363LA2100X
Acute Care Nurse Practitioner
COA.17512-NP
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
27193
SC
363LG0600X
Gerontology Nurse Practitioner
SP026035
PA
Other
Enumeration date
02/16/2016
Last updated
02/20/2025
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