Individual
MRS. HEATHER L HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
3351 W MAIN ST, ST CHARLES, IL 60175-1004
(800) 323-8622
(224) 225-0350
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-3951
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277000399
IL
363LF0000X
Family Nurse Practitioner
209006743
IL
363LP2300X
Primary Care Nurse Practitioner
ARNP329599
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250792700
—
FL
Enumeration date
07/17/2006
Last updated
11/04/2025
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