Stephanie Ann Henderson
Technician, Personal Care Attendant in Clay, WV. Individual provider (NPI-1).
NPI number1093451007
StatusActive
Last updated in NPPESMay 20, 2022
Details
- NPI
- 1093451007
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Ann Henderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 11, 2022
- Certification date
- May 20, 2022
- Last updated
- May 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Other names
- Stephanie Ann Bishop (Former Name)
Practice location
15 Bank StreetClay, WV 25043
Phone 304-587-9992
Mailing address
3224 Ovapa RoadProcious, WV 25164
Phone 304-618-0378
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All 320 Personal Care Attendant providers in Clay · All 424 providers in Clay
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