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Individual

MRS. HOLLY ERIN TENBARGE

Active
Find providers by NPI
Individual

MRS. HOLLY ERIN TENBARGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10004476A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10004476A
IN LICENSE
IN
01
10004476B
IN CSR
IN
01
1222111
BOARD CERTIFICATION
IN
05
300095435
IN
05
7100999480
KY
Enumeration date
05/29/2024
Last updated
07/24/2026
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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