Healthcare Provider Details

I. General information

NPI: 1326553850
Provider Name (Legal Business Name): TERESA MARIE NABER DNP, APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2017
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 S 2ND ST
HIAWATHA KS
66434-2774
US

IV. Provider business mailing address

909 S 2ND ST
HIAWATHA KS
66434-2774
US

V. Phone/Fax

Practice location:
  • Phone: 785-742-7113
  • Fax: 785-742-3085
Mailing address:
  • Phone: 785-742-7113
  • Fax: 785-742-3085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number214737
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number53-83699-081
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number226013
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: