Individual provider · NPI-1
Lisa Wrice-Henderson, NEMT
Contractor · Valrico, FL
NPI number1043906324
StatusActive
Last updated in NPPESApr 11, 2023
Details
- NPI
- 1043906324
- Entity type
- Individual (NPI-1)
- Name
- Lisa Wrice-Henderson
- Credential
- NEMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2023
- Certification date
- Apr 11, 2023
- Last updated
- Apr 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | 92270586172208 | FL | Yes |
Practice location
259 Taho CirValrico, FL 33594-3556
Phone 614-226-1939
Mailing address
Po Box 1014Valrico, FL 33595-1014
Phone 813-658-8759
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