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Individual
ERICA ANNE HENSTROM
Active
Individual
ERICA ANNE HENSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
8864117-3102
UT
363L00000X
Nurse Practitioner
8864117-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8864117-4405
UT
Other
Enumeration date
09/20/2017
Last updated
09/17/2026
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