Provider Demographics
NPI:1801356704
Name:SCIORTINO, TERESA VALLIERE
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:VALLIERE
Last Name:SCIORTINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4321 WASHINGTON ST STE 6100
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-5901
Mailing Address - Country:US
Mailing Address - Phone:816-932-3470
Mailing Address - Fax:816-932-3437
Practice Address - Street 1:4321 WASHINGTON ST STE 6100
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-5901
Practice Address - Country:US
Practice Address - Phone:816-932-3470
Practice Address - Fax:816-932-3437
Is Sole Proprietor?:No
Enumeration Date:2019-03-25
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS94-09795207R00000X
MO2024002050207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine