Individual
MRS. JUDIANNE URMAZA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
MGH CANCER CANCER CENTER 55 FRUIT STREET, YAWKEY 7B, BOSTON, MA 02114
(617) 724-4000
(617) 643-1915
Mailing address
MGH CANCER CANCER CENTER 55 FRUIT STREET, YAWKEY 7B, BOSTON, MA 02114
(617) 724-4000
(617) 643-1915
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
254899
MA
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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