Active NPIIndividual provider

Dr. Rebecca Gagne Henderson, PHD, NP-C FNP ACHPN

Nurse Practitioner, Family in Middlebury, Connecticut

NPI Number1851521215
Practice location
1579 Straits Tpke Ste 1E, Middlebury, CT 06762-1835
Fax
—
Last updated
May 9, 2022

Rebecca Gagne Henderson is a Nurse Practitioner, Family based in Middlebury, CT. Rebecca Gagne Henderson practices in Middlebury, CT and has the professional credentials of PHD, NP-C FNP ACHPN. The NPI Number for Rebecca Gagne Henderson is 1851521215 and holds a License No. 4925 (CT). The current practice location address for Rebecca Gagne Henderson is 1579 Straits Tpke Ste 1E, Middlebury, CT 06762-1835 and can be reached out via phone at 203-490-1000.

Provider Profile Details

NPI Number
1851521215
Provider Name
Rebecca Gagne Henderson
Credential
PHD, NP-C FNP ACHPN
Provider Entity Type
Individual
Gender
Female
Address
1579 Straits Tpke Ste 1E, Middlebury, CT 06762-1835
Phone Number
203-490-1000
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Other Names
Rebecca Gagne-Henderson, PHD, NP-C FNP ACHPN (Professional Name)
Provider Enumeration Date
July 20, 2009
Last Update Date
May 9, 2022
Certification Date
May 9, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1579 Straits Tpke Ste 1E
Middlebury, CT 06762-1835
Zip
06762-1835
Phone Number
203-490-1000
Middlebury, CT 06762Get directions →

Provider Business Mailing Address Details

Address
6400 Shafer CT Ste 700
Rosemont, IL 60018-4989
City
Rosemont
State
IL
Zip
60018-4989
Phone Number
346-376-1702
Fax Number
224-532-2780

License Information

License Number
4925
License State
CT
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Rebecca Gagne Henderson, PHD, NP-C FNP ACHPN?

The NPI number of Dr. Rebecca Gagne Henderson, PHD, NP-C FNP ACHPN is 1851521215. It was assigned on July 20, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Rebecca Gagne Henderson, PHD, NP-C FNP ACHPN?

Dr. Rebecca Gagne Henderson, PHD, NP-C FNP ACHPN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 4925.

Where does Dr. Rebecca Gagne Henderson, PHD, NP-C FNP ACHPN practice?

The practice location is 1579 Straits Tpke Ste 1E, Middlebury, CT 06762-1835. The office can be reached at 203-490-1000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1851521215 directly on the NPPES registry website.

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