Individual
TARA BETH HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
16372 SANDPIPER DR, ANCHORAGE, AK 99516-5053
(907) 227-6654
(907) 336-7862
Mailing address
16372 SANDPIPER DR, ANCHORAGE, AK 99516-5053
(907) 227-6654
(907) 336-7862
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1100
AK
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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