Matthew Dale Tieskoetter, APRN is an adult health nurse practitioner in Bridgeton, MO with 6 years of experience. Matthew Dale Tieskoetter, APRN NPI is 1508482506. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
12349 DE PAUL DR STE 100
BRIDGETON, MO
ZIP 63044-512
Phone: (314) 291-7900
The NPI 1508482506 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/25/2020 and was last updated on 10/17/2022.