Provider Demographics
NPI:1861480154
Name:SCHMIDTKE, TOYA TERESE (FNP)
Entity Type:Individual
Prefix:
First Name:TOYA
Middle Name:TERESE
Last Name:SCHMIDTKE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 MAYWOOD AVE
Mailing Address - Street 2:21 CARKOSKI COMMONS
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001
Mailing Address - Country:US
Mailing Address - Phone:507-389-6276
Mailing Address - Fax:507-389-5787
Practice Address - Street 1:MINNESOTA STATE UNIVERSITY, MANKATO
Practice Address - Street 2:21 CARKOSKI COMMONS
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001
Practice Address - Country:US
Practice Address - Phone:507-389-6276
Practice Address - Fax:507-389-5787
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNNP 0274753-22363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN121165OtherUCARE
MN247M3SCOtherBCBS
MN01-14675OtherMEDICA
MN247M3SCOtherBCBS