Provider Demographics
NPI:1871839910
Name:HENSLEY, TARYNE DENE (RN, MSN, APRN)
Entity Type:Individual
Prefix:
First Name:TARYNE
Middle Name:DENE
Last Name:HENSLEY
Suffix:
Gender:F
Credentials:RN, MSN, APRN
Other - Prefix:
Other - First Name:TARYNE
Other - Middle Name:DENE
Other - Last Name:STANISLAUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, MSN, APRN
Mailing Address - Street 1:276 NE TUDOR RD
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-5696
Mailing Address - Country:US
Mailing Address - Phone:816-525-8500
Mailing Address - Fax:816-525-0185
Practice Address - Street 1:276 NE TUDOR RD
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-5696
Practice Address - Country:US
Practice Address - Phone:816-525-8500
Practice Address - Fax:816-525-0185
Is Sole Proprietor?:No
Enumeration Date:2012-12-18
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012039525363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily