Provider Demographics
NPI:1598773590
Name:SCHIERS, DIANE THERESA (CRNA)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:THERESA
Last Name:SCHIERS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:DIANE
Other - Middle Name:THERESA
Other - Last Name:CARLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:797 I AVE
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:IA
Mailing Address - Zip Code:50212-7459
Mailing Address - Country:US
Mailing Address - Phone:515-275-3011
Mailing Address - Fax:515-275-3011
Practice Address - Street 1:797 I AVE
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:IA
Practice Address - Zip Code:50212-7459
Practice Address - Country:US
Practice Address - Phone:515-275-3011
Practice Address - Fax:515-275-3011
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR1341962163W00000X
PARN175652L163W00000X
MO141279163W00000X, 367500000X
IA080434163W00000X
IAD080434363L00000X, 367500000X
ARC01056363L00000X
SD0388367500000X
NE100595367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Not Answered367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered