Individual
TARENA JO SISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
1074958
TX
367A00000X
Advanced Practice Midwife
Primary
233688
AR
367A00000X
Advanced Practice Midwife
2500001
KS
Other
Enumeration date
01/05/2012
Last updated
09/30/2025
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