Individual provider · Type 1 NPI
Teresa Siefke, MS, AGACNP-BC
Gerontology Nurse Practitioner · Englewood, OH
NPI number
1245699453
Active
Practice location
9000 N Main St
Englewood, OH 45415-1180
Fax (937) 208-8388
Mailing address
3170 Kettering Blvd Bldg B3
Moraine, OH 45439-1924
Other practice locations
- 2222 Philadelphia Dr, Dayton, OH 45406-1813 · (937) 734-3683
- 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 · (937) 702-4450
- 850 Tuck St, Lebanon, PA 17042-7477 · (717) 272-8173
- 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 · (803) 434-8323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 71013185A (IN) |
| Acute Care Nurse Practitioner | 363LA2100X | APRN11019111 (FL) |
| Acute Care Nurse Practitioner | 363LA2100X | COA.17512-NP (OH) |
| Gerontology Nurse Practitioner | 363LG0600X | SP026035 (PA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 27193 (SC) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1245699453
Teresa Siefke, MS, AGACNP-BC's National Provider Identifier is 1245699453, issued on Feb 16, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Englewood, OH. The record was last updated on Feb 20, 2025.