Individual
TARAH ADELE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10701 ALLIANCE DR STE A, CAMBY, IN 46113-8837
(317) 856-7083
(317) 856-7332
Mailing address
PO BOX 781076, DETROIT, MI 48278-1008
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28256630A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71017539A
IN
Other
Enumeration date
11/10/2025
Last updated
01/09/2026
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