Provider Demographics
NPI:1760796858
Name:TERPSTRA, ERIN HILLARY (RN)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:HILLARY
Last Name:TERPSTRA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 WONDERLY AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45419-1758
Mailing Address - Country:US
Mailing Address - Phone:937-293-9997
Mailing Address - Fax:937-293-5922
Practice Address - Street 1:331 WONDERLY AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45419-1758
Practice Address - Country:US
Practice Address - Phone:937-293-9997
Practice Address - Fax:937-293-5922
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-30
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN309659163W00000X, 163WG0000X, 163WH0200X, 163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WP0200XNursing Service ProvidersRegistered NursePediatrics