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Tara Dendekker, CNP
Family Nurse Practitioner in Okemos, Michigan
NPI 1073936688

Tara Dendekker is a Family Nurse Practitioner based in Okemos, MI and is specialized in Family. Tara Dendekker practices in Okemos, MI and has the professional credentials of CNP. The NPI Number for Tara Dendekker is 1073936688 and holds a License No. 4704301947 (Michigan).

The current practice location address for Tara Dendekker is 4129 Okemos Rd, Okemos, MI and can be reached out via phone at 517-803-4544.

Location: 4129 Okemos Rd, Okemos, MI, 48864-2822
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073936688
Provider Name
Tara Dendekker
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
4129 Okemos Rd, Okemos, MI, 48864-2822
Phone Number
517-803-4544
Fax Number
Provider Enumeration Date
02/03/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TD301947 01 MI BCBSM
4704301947 01 MI MI STATE LIC#
institution
Provider Business Practice Location Address Details
Address
4129 Okemos Rd
City
Okemos
State
Michigan
Zip
48864-2822
Phone Number
517-803-4544
Fax Number
person
Provider Business Mailing Address Details
Address
4129 Okemos Rd
City
Okemos
State
Michigan
Zip
48864-2822
Phone Number
517-803-4544
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704301947 (Michigan)
Definition
Definition to come...
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