Provider Demographics
NPI:1730521584
Name:TENTINGER, ABBY J (NP-C)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:J
Last Name:TENTINGER
Suffix:
Gender:F
Credentials:NP-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:300 SIOUX VALLEY DR
Mailing Address - Street 2:PO BOX 519
Mailing Address - City:CHEROKEE
Mailing Address - State:IA
Mailing Address - Zip Code:51012-1205
Mailing Address - Country:US
Mailing Address - Phone:712-225-6441
Mailing Address - Fax:712-225-3333
Practice Address - Street 1:300 SIOUX VALLEY DR
Practice Address - Street 2:TRUE MEDICAL BLDG
Practice Address - City:CHEROKEE
Practice Address - State:IA
Practice Address - Zip Code:51012-1205
Practice Address - Country:US
Practice Address - Phone:712-225-6441
Practice Address - Fax:712-225-3333
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-22
Last Update Date:2013-08-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IAA0713103363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily