Tarah Adele Henderson, NP is a
Nurse Practitioner - Gerontology physician based in Camby, Indiana. Tarah Adele Henderson is licensed to practice in Indiana (license number 71017539A) and her current practice location is 10701 Alliance Dr Ste A, Camby, Indiana. She can be reached at her office (for appointments etc.) via phone at
(317) 856-7083.
NPI number for Tarah Adele Henderson is 1073483467 and her current mailing address is Po Box 781076, Detroit, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073483467.
Physician's Profile
| Full Name | Tarah Adele Henderson |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Gerontology |
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| Location | 10701 Alliance Dr Ste A, Camby, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073483467
- Provider Enumeration Date: 11/10/2025
- Last Update Date: 01/09/2026
Medical Identifiers
Medical identifiers for Tarah Adele Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1073483467 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 28256630A (Indiana) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 71017539A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tarah Adele Henderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Tarah Adele Henderson, NP Po Box 781076, Detroit, MI 48278-1008 Ph: (317) 528-4800 | Tarah Adele Henderson, NP 10701 Alliance Dr Ste A, Camby, IN 46113-8837 Ph: (317) 856-7083 |
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