Individual
ROSS K HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4133 PINECREST DR. NE, HICKORY, NC 28601-8754
(828) 256-6438
Mailing address
4133 PINECREST DR NE, HICKORY, NC 28601-8754
(828) 256-6438
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
168640
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051331
—
NC
Enumeration date
05/13/2006
Last updated
08/27/2007
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