Individual
TINA RACHELLE HENNIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
252 1/2 FRONT ST, MARIETTA, OH 45750-2908
(740) 434-7613
Mailing address
PO BOX 146, LOWELL, OH 45744-0146
(740) 434-7613
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
77927
WV
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN.CNP.16945
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085813
—
OH
05
—
3810026276
—
WV
01
—
P01490747
RAILROAD MHCPI
OH
Enumeration date
05/16/2013
Last updated
05/15/2026
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