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Earlena Henderson
Primary Care Nurse Practitioner in Bronx, New York
NPI 1376149724

Earlena Henderson is a Primary Care Nurse Practitioner based in Bronx, NY and is specialized in Primary Care. Earlena Henderson practices in Bronx, NY. The NPI Number for Earlena Henderson is 1376149724 and holds a License No. F30996-01 (New York).

The current practice location address for Earlena Henderson is 2015 Grand Ave Apt 2F, Bronx, NY and can be reached out via phone at 718-299-7285.

Location: 2015 Grand Ave Apt 2F, Bronx, NY, 10461-2507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376149724
Provider Name
Earlena Henderson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2015 Grand Ave Apt 2F, Bronx, NY, 10461-2507
Phone Number
718-299-7285
Fax Number
Provider Enumeration Date
12/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2015 Grand Ave Apt 2F
City
Bronx
State
New York
Zip
10453-4576
Phone Number
718-299-7285
Fax Number
person
Provider Business Mailing Address Details
Address
2015 Grand Ave Apt 2F
City
Bronx
State
New York
Zip
10453-4576
Phone Number
718-299-7285
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
F30996-01 (New York)
Definition
Definition to come...
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