Healthcare Provider Details

I. General information

NPI: 1235045667
Provider Name (Legal Business Name): HANNAH MARIE BURJOSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 W SAINTE MARIES ST STE A
PERRYVILLE MO
63775-1596
US

IV. Provider business mailing address

5429 FLATWOODS RD
FARMINGTON MO
63640-7526
US

V. Phone/Fax

Practice location:
  • Phone: 573-547-2346
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number2026029976
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: