| NPI | 1407130172 | 
|---|---|
| Former Name | REBECCA L TENHOLDER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2020022255)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2328772)  | 
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5005977)  | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024169678)  | |
| Enumeration Date | 2011-09-29 | 
| Last Update Date | 2024-11-23 |