Individual
CORRIE L HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM
Contact information
Practice address
6859 SW 18TH ST, BOCA RATON, FL 33433-7014
(561) 368-3775
(561) 368-1143
Mailing address
6859 SW 18TH ST, BOCA RATON, FL 33433-7014
(561) 368-3775
(561) 368-1143
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
11005950
FL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
2212
CT
367A00000X
Advanced Practice Midwife
000237
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004208064
—
CT
Enumeration date
04/20/2006
Last updated
08/22/2021
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