Provider Demographics
NPI:1639202542
Name:TERHAAR, PAT A (FNP)
Entity Type:Individual
Prefix:MRS
First Name:PAT
Middle Name:A
Last Name:TERHAAR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 ZORNOW DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-4640
Mailing Address - Country:US
Mailing Address - Phone:585-334-6173
Mailing Address - Fax:
Practice Address - Street 1:AFTER HOURS CARE CENTER-LIVINGSTON HEALTH SERVICES
Practice Address - Street 2:50 EAST SOUTH ST.
Practice Address - City:GENESEO
Practice Address - State:NY
Practice Address - Zip Code:14454
Practice Address - Country:US
Practice Address - Phone:585-243-9595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332940363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily