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Individual
DR. WENDY ANN HENDERSON
Active
Individual
DR. WENDY ANN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R181106
MD
363LP0200X
Pediatric Nurse Practitioner
SP005687D
PA
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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