Catrina Henderson, RN
Registered Nurse in Manorville, NY. Individual provider (NPI-1).
NPI number1124416680
StatusActive
Last updated in NPPESMar 13, 2020
Details
- NPI
- 1124416680
- Entity type
- Individual (NPI-1)
- Name
- Catrina Henderson
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 6, 2015
- Certification date
- Mar 13, 2020
- Last updated
- Mar 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 784162-01 | NY | Yes |
| 164W00000X | Licensed Practical Nurse | 318979 | NY |
Practice location
30 Winding Path Apt 7Manorville, NY 11949-2268
Phone 631-603-4078
Mailing address
47 Rose LnMedford, NY 11763-1328
Phone 631-353-5075
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All 29 Registered Nurse providers in Manorville · All 303 providers in Manorville
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