MEDICARE: TERESA LYNN DRESCHER NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	28220204A	IN
2	363LF0000X	Family Nurse Practitioner	71011091A	IN

General Provider Information

NPI Number	:	1417540881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERESA LYNN DRESCHER NP

Provider Business Mailing Address
First Line	:	PO BOX 485
Second Line	:
City	:	NEW CASTLE
State	:	IN
Zip	:	47362-0485
Country	:	US
Telephone Number	:	765-521-1516
Fax Number	:	765-599-3131

Provider Business Practice Location Address
First Line	:	602 N 5TH ST
Second Line	:
City	:	MIDDLETOWN
State	:	IN
Zip	:	47356-1008
Country	:	US
Telephone Number	:	765-518-5000
Fax Number	:	765-518-5025

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2021
Last Update Date	:	04/04/2024

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