Provider Demographics
NPI:1316520489
Name:TERRAZZINO, HANNAH CATHERINE (PA)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:CATHERINE
Last Name:TERRAZZINO
Suffix:
Gender:
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 W COLE RD
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005-9453
Mailing Address - Country:US
Mailing Address - Phone:207-284-6673
Mailing Address - Fax:207-294-7365
Practice Address - Street 1:30 W COLE RD
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-9453
Practice Address - Country:US
Practice Address - Phone:207-284-6673
Practice Address - Fax:207-294-7365
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-05
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPA2741363A00000X, 363AS0400X
NH1930363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant