Provider Demographics
NPI:1730858762
Name:SCHLENKER, ABBEY KATHLEEN (RN, LN)
Entity type:Individual
Prefix:MRS
First Name:ABBEY
Middle Name:KATHLEEN
Last Name:SCHLENKER
Suffix:
Gender:F
Credentials:RN, LN
Other - Prefix:MS
Other - First Name:ABBEY
Other - Middle Name:KATHLEEN
Other - Last Name:NORGAARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:404 SAMARA AVE
Mailing Address - Street 2:
Mailing Address - City:VOLGA
Mailing Address - State:SD
Mailing Address - Zip Code:57071-9182
Mailing Address - Country:US
Mailing Address - Phone:605-695-0965
Mailing Address - Fax:
Practice Address - Street 1:404 SAMARA AVE
Practice Address - Street 2:
Practice Address - City:VOLGA
Practice Address - State:SD
Practice Address - Zip Code:57071-9182
Practice Address - Country:US
Practice Address - Phone:605-695-0965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-13
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD86011377133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty