Patrena Henderson, RN
Registered Nurse, Case Management in Sunrise, FL. Individual provider (NPI-1).
NPI number1437802444
StatusActive
Last updated in NPPESJan 31, 2022
Details
- NPI
- 1437802444
- Entity type
- Individual (NPI-1)
- Name
- Patrena Henderson
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2022
- Certification date
- Jan 31, 2022
- Last updated
- Jan 31, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC0400X | Registered Nurse, Case Management | R056268 | AR | Yes |
Practice location
1391 Nw 136th AveSunrise, FL 33323-2800
Phone 870-635-5142 · Fax 678-937-8246
Mailing address
1391 Nw 136th AveSunrise, FL 33323-2800
Phone 870-635-5142
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