Individual
AMY JOSEPHINE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8990 SPRINGBROOK DR NW, SUITE 250, COON RAPIDS, MN 55433-5850
(763) 398-1176
(763) 398-0124
Mailing address
8990 SPRINGBROOK DR NW, SUITE 250, COON RAPIDS, MN 55433-5850
(763) 398-1176
(763) 398-0124
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R1563313
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
090378
MN
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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