person
Philana J Henderson, CPNP
Pediatric Nurse Practitioner in New Square, New York
NPI 1134896327

Philana J Henderson is a Pediatric Nurse Practitioner based in New Square, NY and is specialized in Pediatrics. Philana J Henderson practices in New Square, NY and has the professional credentials of CPNP. The NPI Number for Philana J Henderson is 1134896327 and holds a License No. 383340 (New York).

The current practice location address for Philana J Henderson is 728 N Main St, New Square, NY and can be reached out via phone at 845-354-9300.

Location: 728 N Main St, New Square, NY, 10977-8916
person
Provider Profile Details
NPI Number
1134896327
Provider Name
Philana J Henderson
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
728 N Main St, New Square, NY, 10977-8916
Phone Number
845-354-9300
Fax Number
Provider Enumeration Date
08/25/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
N.A 01 N/A
institution
Provider Business Practice Location Address Details
Address
728 N Main St
City
State
Zip
10977-8916
Phone Number
845-354-9300
Fax Number
person
Provider Business Mailing Address Details
Address
728 N Main St
City
State
Zip
10977-8916
Phone Number
845-354-9300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
383340 (New York)
Definition
Definition to come...
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