person
Justin Henderson, NP
Family Nurse Practitioner in Ponderay, Idaho
NPI 1770112138

Justin Henderson is a Family Nurse Practitioner based in Coeur D Alene, ID and is specialized in Family. Justin Henderson practices in Ponderay, ID and has the professional credentials of NP. The NPI Number for Justin Henderson is 1770112138 and holds a License No. 9132375-4405 (Idaho).

The current practice location address for Justin Henderson is 30544 Id-200, Ponderay, ID and can be reached out via phone at 208-263-6300. You can also correspond with Justin Henderson through the mailing address at 700 W IRONWOOD DR STE 120E, COEUR D ALENE, ID - 83814-2656 (mailing address contact number: 208-625-3640).

Location: 30544 Id-200, Ponderay, ID, 83814-2656
person
Provider Profile Details
NPI Number
1770112138
Provider Name
Justin Henderson
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
30544 Id-200, Ponderay, ID, 83814-2656
Phone Number
208-263-6300
Fax Number
Provider Enumeration Date
04/07/2020
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
30544 Id-200
City
State
Zip
83852
Phone Number
208-263-6300
Fax Number
person
Provider Business Mailing Address Details
Address
30544 Id-200
City
State
Zip
83852
Phone Number
208-263-6300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
9132375-4405 (Utah)
Definition
Definition to come...
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