Individual
MEGAN NICHOLE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1640 CRAWFORDSVILLE SQUARE DR, CRAWFORDSVILLE, IN 47933-3800
(765) 362-5789
(765) 362-2453
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2022057124
IN
363LF0000X
Family Nurse Practitioner
Primary
71013159A
IN
Other
Enumeration date
09/06/2022
Last updated
03/05/2024
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