Healthcare Provider Details

I. General information

NPI: 1336056407
Provider Name (Legal Business Name): HANNAH TENPAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2414 KOHLER MEMORIAL DR
SHEBOYGAN WI
53081-3129
US

IV. Provider business mailing address

2414 KOHLER MEMORIAL DR
SHEBOYGAN WI
53081-3129
US

V. Phone/Fax

Practice location:
  • Phone: 920-457-4461
  • Fax: 920-828-3515
Mailing address:
  • Phone: 920-457-4461
  • Fax: 920-828-3515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1143-156
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: