Individual
MISS RENEE ANNE TELKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
450 ERIE AVE, CONNERSVILLE, IN 47331-3176
(765) 827-7890
(765) 825-6628
Mailing address
450 ERIE AVE, CONNERSVILLE, IN 47331-3176
(765) 827-7890
(765) 825-6628
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28190730A
IN
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
28190730A
IN
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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