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Individual
SAVANNAH MARIA HENDERSON
Active
Individual
SAVANNAH MARIA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-PC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
296364
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
20222198
NC
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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