Individual provider · Type 1 NPI

Elizabeth Tara Henley, DO

Student in an Organized Health Care Education/Training Program · Ypsilanti, MI

NPI number 1457938730 Active

Practice location

Iha Hospital Medicine Services, 5301 E Hurlon River Drive
Ypsilanti, MI 48197

Call (734) 712-8676 Map

Mailing address

24 Frank Lloyd Wright Dr, Suite J2000
Ann Arbor, MI 48105

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X5101027983 (MI)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1457938730

Elizabeth Tara Henley, DO's National Provider Identifier is 1457938730, issued on Mar 24, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ypsilanti, MI. The record was last updated on Jun 6, 2024.