Individual
MICHAEL JAMES HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
380 CHASE AVE, WALLA WALLA, WA 99362-2924
(509) 897-3000
Mailing address
380 CHASE AVE, WALLA WALLA, WA 99362-2924
(509) 897-3000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60851799
WA
Other
Enumeration date
06/20/2018
Last updated
06/24/2021
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