Individual
ERIN MARIE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
61 S GOULD ST, SHERIDAN, WY 82801-6304
(307) 675-2690
(307) 675-2691
Mailing address
61 S GOULD ST, SHERIDAN, WY 82801-6304
(307) 675-2690
(307) 675-2691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16319A
WY
207R00000X
Internal Medicine Physician
50126
CO
207R00000X
Internal Medicine Physician
TL7953
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46054561
—
CO
Enumeration date
10/07/2008
Last updated
12/27/2023
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