Individual
MRS. HEATHER K HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1045 JAMES ST, BROWNELL CENTER FOR BEHAVIORAL HEALTH, SYRACUSE, NY 13203-2730
(315) 472-4471
(315) 422-4855
Mailing address
1045 JAMES ST, BROWNELL CENTER FOR BEHAVIORAL HEALTH, SYRACUSE, NY 13203-2730
(315) 472-4471
(315) 422-4855
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
552060
NY
363L00000X
Nurse Practitioner
F401141-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401141
NY
Other
Enumeration date
09/07/2008
Last updated
12/21/2013
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