Provider Demographics
NPI:1154002095
Name:TERMORSHUIZEN, HANNAH ELIZABETH
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:ELIZABETH
Last Name:TERMORSHUIZEN
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 1:19350 HIGHWAY B
Mailing Address - Street 2:
Mailing Address - City:EDGERTON
Mailing Address - State:MO
Mailing Address - Zip Code:64444-9161
Mailing Address - Country:US
Mailing Address - Phone:816-377-1757
Mailing Address - Fax:
Practice Address - Street 1:2203 PATSY LN
Practice Address - Street 2:
Practice Address - City:EXCELSIOR SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64024-7303
Practice Address - Country:US
Practice Address - Phone:816-637-4900
Practice Address - Fax:800-259-2226
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023028925183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist