Dr. Rebecca Gagne Henderson, PhD, NP-c FNP ACHPN
Nurse Practitioner, Family in Middlebury, CT. Individual provider (NPI-1).
NPI number1851521215
StatusActive
Last updated in NPPESMay 9, 2022
Details
- NPI
- 1851521215
- Entity type
- Individual (NPI-1)
- Name
- Dr. Rebecca Gagne Henderson
- Credential
- PhD, NP-c FNP ACHPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2009
- Certification date
- May 9, 2022
- Last updated
- May 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 4925 | CT | Yes |
Other names
- Rebecca Gagne-Henderson (Professional Name)
Practice location
1579 Straits Tpke Ste 1eMiddlebury, CT 06762-1835
Phone 203-490-1000
Mailing address
6400 Shafer Ct Ste 700Rosemont, IL 60018-4989
Phone 346-376-1702 · Fax 224-532-2780
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