Individual
BRITTANY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1647 NE ASHLEY SCHOOL CIR, WINSTON SALEM, NC 27105-5444
(336) 713-7188
Mailing address
200 E SECOND AVE, GASTONIA, NC 28052-4358
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5009789
NC
Other
Enumeration date
08/18/2017
Last updated
03/17/2018
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