Vickie S Henderson, RN
Registered Nurse in Huntley, IL. Individual provider (NPI-1).
NPI number1730901034
StatusActive
Last updated in NPPESOct 28, 2024
Details
- NPI
- 1730901034
- Entity type
- Individual (NPI-1)
- Name
- Vickie S Henderson
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 28, 2024
- Certification date
- Oct 28, 2024
- Last updated
- Oct 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 041.153805 | IL | Yes |
| 163W00000X | Registered Nurse | 041153805 | IL |
Practice location
12218 Scenic RdgHuntley, IL 60142-7460
Phone 847-612-5850
Mailing address
12218 Scenic RdgHuntley, IL 60142-7460
Phone 847-612-5850
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