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Individual
CARYN HENDERSON
Active
Individual
CARYN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP014499
PA
364SF0001X
Family Health Clinical Nurse Specialist
F0914508
PA
Other
Enumeration date
01/21/2015
Last updated
03/08/2021
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