Individual
MRS. ANGELA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
887 BRIDGEPORT AVE, SHELTON, CT 06484-7602
(203) 225-6020
Mailing address
887 BRIDGEPORT AVE, SHELTON, CT 06484-7602
(203) 225-6020
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9148
CT
Other
Enumeration date
08/27/2020
Last updated
09/04/2020
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