Provider Demographics
NPI:1487369492
Name:HINDERLITER, TORI (APRN)
Entity type:Individual
Prefix:
First Name:TORI
Middle Name:
Last Name:HINDERLITER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8406 MCCORMACK DR
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66227-3283
Mailing Address - Country:US
Mailing Address - Phone:620-481-6329
Mailing Address - Fax:
Practice Address - Street 1:1311 WAKARUSA DR STE 1000
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-1741
Practice Address - Country:US
Practice Address - Phone:620-481-6329
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-81835-122363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily