| NPI | 1992233456 |
|---|---|
| Former Name | TANA ANN HENLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.021116) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 399935) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: OH APRNCNP021116) | |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2022-07-21 |