Individual
TERESA DIANE SKIDMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 HIGHWAY 6 W, IOWA CITY, IA 52246-2209
(319) 338-0581
Mailing address
5245 ELDERTON DR, MARION, IA 52302-8936
(319) 338-0581
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
138415
IA
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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