Individual
MRS. TARI RENEE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AG1116006
OH
363LG0600X
Gerontology Nurse Practitioner
AG111006
OH
363LG0600X
Gerontology Nurse Practitioner
AG1116006
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
CNP-020426
OH
363LP2300X
Primary Care Nurse Practitioner
AG1116006
OH
Other
Enumeration date
12/27/2016
Last updated
01/22/2026
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