Healthcare Provider Details

I. General information

NPI: 1700856523
Provider Name (Legal Business Name): ANN M TERHORST ARNP, CWOCN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 02/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 LINCOLN CIR SE
ORANGE CITY IA
51041-1862
US

IV. Provider business mailing address

845 16TH ST SE
SIOUX CENTER IA
51250-2924
US

V. Phone/Fax

Practice location:
  • Phone: 712-737-4984
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SM0705X
TaxonomyMedical-Surgical Clinical Nurse Specialist
License Number089886
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code163WE0900X
TaxonomyEnterostomal Therapy Registered Nurse
License Number089886
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: