Tara R Henthorn

NPI #1811530603 in Chickasha, Oklahoma

Provider Information

NPI Number
1811530603
Entity Type
Individual
Name
Tara R Henthorn
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Oct 24, 2019
Last Updated
Dec 20, 2023

Practice Location

Address
411 W GRAND AVE
ZIP Code
73018-5862
Phone
(405) 224-0053

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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