Individual provider · Type 1 NPI

Tara R. Henthorn

Family Nurse Practitioner · Chickasha, OK

NPI number 1811530603 Active

Practice location

411 W Grand Ave
Chickasha, OK 73018-5862

Mailing address

416 N Main St
Altus, OK 73521-3108

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X102945 (OK)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1811530603

Tara R. Henthorn's National Provider Identifier is 1811530603, issued on Oct 24, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chickasha, OK. The record was last updated on Dec 20, 2023.