Individual
MICHELLE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA, CNOR, RN
Contact information
Practice address
1175 COUNTY ROAD 459, HEFLIN, AL 36264-4090
(770) 846-9526
Mailing address
1175 COUNTY ROAD 459, HEFLIN, AL 36264-4090
(770) 846-9526
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN217566
GA
Other
Enumeration date
09/12/2016
Last updated
10/10/2019
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