Tara Ann Henderson, APRN, NP-C | |
1575 N Santa Fe Ave, Edmond, OK 73003-3638 | |
(405) 285-0660 | |
Not Available |
Full Name | Tara Ann Henderson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1575 N Santa Fe Ave, Edmond, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548789688 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 123087 (Oklahoma) | Primary |
Entity Name | Mercy Clinic Oklahoma Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
Mailing Address | Practice Location Address |
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Tara Ann Henderson, APRN, NP-C 5416 Piedmont Rd N, Piedmont, OK 73078-9177 Ph: (405) 368-4506 | Tara Ann Henderson, APRN, NP-C 1575 N Santa Fe Ave, Edmond, OK 73003-3638 Ph: (405) 285-0660 |
Michelle Kathleen Merrell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3800 S. Blvd,, Edmond, OK 73013 Phone: 405-905-9888 | |
Catherine Marie Kindt, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2177 Venezia Cir, Edmond, OK 73034 Phone: 580-695-1605 | |
Breanne Kali Flusche, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 N Bryant Ave Ste 120, Edmond, OK 73034 Phone: 405-832-6881 Fax: 405-578-9818 | |
Karyl S. Knopps, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2820 N Kelly Ave, Ste 200, Edmond, OK 73003 Phone: 405-726-8000 Fax: 405-726-8101 | |
Lisa Louise Spence, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1208 W 15th St, Edmond, OK 73013 Phone: 405-340-2100 Fax: 405-340-1184 | |
Elizabeth Stanfield Carradini, DNP, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 S Bryant Ave, Edmond, OK 73013 Phone: 405-348-7982 | |
Kelli Rebecca Lawrence, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 N Bryant Ave Ste 120, Edmond, OK 73034 Phone: 405-832-6881 Fax: 833-941-1685 |