Individual provider · Type 1 NPI
Tarah Adele Henderson, NP
Gerontology Nurse Practitioner · Camby, IN
NPI number
1073483467
Active
Practice location
10701 Alliance Dr Ste A
Camby, IN 46113-8837
Fax (317) 856-7332
Mailing address
PO Box 781076
Detroit, MI 48278-1008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 28256630A (IN) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 71017539A (IN) |
Gerontology Nurse Practitioner: Definition to come...
5 other providers at this address
- Dawn Marie Gunderson, NPWomen's Health Nurse Practitioner Camby, IN NPI 1174747505
- Dianna L. Boyer, MDInternal Medicine Physician Camby, IN NPI 1013919695
- Jennifer L. McNair, NPFamily Nurse Practitioner Camby, IN NPI 1194197814
- Patricia L. McElroy, N.P.Adult Health Nurse Practitioner Camby, IN NPI 1063414662
- Traci Lynn Martin, NPFamily Nurse Practitioner Camby, IN NPI 1144602640
About NPI 1073483467
Tarah Adele Henderson, NP's National Provider Identifier is 1073483467, issued on Nov 10, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Camby, IN. The record was last updated on Jan 9, 2026.