Provider Demographics
NPI:1679552095
Name:KRONE, TERESA ANNE (ARNP)
Entity Type:Individual
Prefix:MS
First Name:TERESA
Middle Name:ANNE
Last Name:KRONE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 CHESTNUT CT NE
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-3711
Mailing Address - Country:US
Mailing Address - Phone:319-326-0501
Mailing Address - Fax:641-484-2432
Practice Address - Street 1:501 13TH ST NW
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52405-3747
Practice Address - Country:US
Practice Address - Phone:319-892-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2016-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA-085358363LF0000X
IAA085358363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0421925Medicaid
IA43663OtherWELLMARK PROVIDER NUMBER
P283309Medicare UPIN