Individual
CHERYL A HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2500 METROHEALTH DR, MHMC-PEDIATRICS, CLEVELAND, OH 44109-1900
(216) 778-5909
Mailing address
2500 METROHEALTH DR, MHMC-PEDIATRICS, CLEVELAND, OH 44109-1900
(216) 778-5909
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP00664
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2173268
—
OH
Enumeration date
07/15/2006
Last updated
07/08/2007
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