Individual
VIVIAN E HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
775 NORMAN DR, LEBANON, PA 17042-7497
(717) 272-8173
(717) 272-4029
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP017648
PA
Other
Enumeration date
04/24/2017
Last updated
05/06/2026
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