Individual
SAMANTHA MARIE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
8670 W CHEYENNE AVE, SUITE 120, LAS VEGAS, NV 89129-7456
(702) 576-9608
Mailing address
3504 N TENAYA WAY, LAS VEGAS, NV 89129-6258
(971) 275-3572
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN001570
NV
Other
Enumeration date
09/15/2013
Last updated
09/15/2013
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