Active NPIIndividual providerSole proprietor

Ms. Melissa M Henderson, RN

Registered Nurse in Middletown, New York

NPI Number1952636185
Practice location
77 Academy Ave, Middletown, NY 10940-5226
Fax
—
Last updated
October 6, 2009

Melissa Marie Henderson is a Registered Nurse based in Middletown, NY. Melissa Marie Henderson practices in Middletown, NY and has the professional credentials of RN. The NPI Number for Melissa Marie Henderson is 1952636185 and holds a License No. 542690-1 (NY). The current practice location address for Melissa Marie Henderson is 77 Academy Ave, Middletown, NY 10940-5226 and can be reached out via phone at 845-741-7060.

Provider Profile Details

NPI Number
1952636185
Provider Name
Melissa Marie Henderson
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
77 Academy Ave, Middletown, NY 10940-5226
Phone Number
845-741-7060
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 6, 2009
Last Update Date
October 6, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
77 Academy Ave
Middletown, NY 10940-5226
Zip
10940-5226
Phone Number
845-741-7060
Middletown, NY 10940Get directions →

Provider Business Mailing Address Details

Address
77 Academy Ave
Middletown, NY 10940-5226
City
Middletown
State
NY
Zip
10940-5226
Phone Number
845-741-7060

License Information

License Number (1)
542690-1
License State (1)
NY
Taxonomy (1)
Registered Nurse · 163W00000X · Primary
License Number (2)
542690-1
License State (2)
NY
Taxonomy (2)
Registered Nurse, Pediatrics · 163WP0200X

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 Ms. Melissa M Henderson, RN?

The NPI number of Ms. Melissa M Henderson, RN is 1952636185. It was assigned on October 6, 2009 and is currently active in the NPPES registry.

What is the specialty of Ms. Melissa M Henderson, RN?

Ms. Melissa M Henderson, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NY under license number 542690-1.

Where does Ms. Melissa M Henderson, RN practice?

The practice location is 77 Academy Ave, Middletown, NY 10940-5226. The office can be reached at 845-741-7060 (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 1952636185 directly on the NPPES registry website.

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