Healthcare Provider Details

I. General information

NPI: 1598773590
Provider Name (Legal Business Name): DIANE THERESA SCHIERS CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DIANE THERESA CARLSON

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

797 I AVE
OGDEN IA
50212-7459
US

IV. Provider business mailing address

797 I AVE
OGDEN IA
50212-7459
US

V. Phone/Fax

Practice location:
  • Phone: 515-275-3011
  • Fax: 515-275-3011
Mailing address:
  • Phone: 515-275-3011
  • Fax: 515-275-3011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR1341962
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN175652L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number141279
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number080434
License Number StateIA
# 5
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberD080434
License Number StateIA
# 6
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberC01056
License Number StateAR
# 7
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberD080434
License Number StateIA
# 8
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number141279
License Number StateMO
# 9
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number0388
License Number StateSD
# 10
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number100595
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: