# PHILANA J HENDERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1134896327
- **Gender:** F
- **Credential:** CPNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | 383340 | NY | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | RN2365100 | MA | Yes |

## Other

- **Enumeration date:** 08/25/2021
- **Last updated:** 06/11/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | N.A | N/A | — |