Individual
TASHA HENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(706) 681-8927
Mailing address
3095 AGUA LADOSO AVE, LAS CRUCES, NM 88012-8018
(575) 640-6293
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53491
NM
Other
Enumeration date
08/06/2018
Last updated
07/09/2020
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