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Individual

WEDNESDAY M HENRY

Active
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Individual

WEDNESDAY M HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
160666
AK
363LF0000X
Family Nurse Practitioner
643131
TX
363LF0000X
Family Nurse Practitioner
Primary
AP113678
TX

Other

Enumeration date
11/17/2005
Last updated
01/23/2024
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