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General NPI Number Information
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NPI Number | 1013452325
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Entity Type | Individual
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Provider Name | MS. TERESA LYNN MEAD-HAHN
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Gender | Female
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Dates
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Enumeration Date | 12/21/2016
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 2303 VILLAGE DR
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City | SAINT JOSEPH
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State | MO
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Zip | 64506-4954
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Country | US
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Telephone | 816-307-8231
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Fax |
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Provider Business Mailing Address
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Address Line | 2303 VILLAGE DR
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City | SAINT JOSEPH
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State | MO
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Zip | 64506-4954
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Country | US
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Telephone | 816-307-8231
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 55076
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2016038486
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License Number State | MO
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