Individual provider · NPI-1

Dorothy Henry, RN

Registered Nurse, Diabetes Educator · Nampa, ID

NPI number1891948154
StatusActive
Last updated in NPPESNov 16, 2009

Details

NPI
1891948154
Entity type
Individual (NPI-1)
Name
Dorothy Henry
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Oct 30, 2008
Last updated
Nov 16, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WD0400X Registered Nurse, Diabetes EducatorN-27130IDYes

Practice location

144 N. Orchard Heights Way
Nampa, ID 83651-8344

Phone 208-440-6771 · Fax 888-647-0695

Mailing address

144 N. Orchard Heights Way
Nampa, ID 83651-8344

Phone 208-440-6771 · Fax 888-647-0695

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