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Individual

DR. KRISTEN F HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
703 MAIN STREET, PEDIATRICS DEPARTMENT - PICU, PATERSON, NJ 07503-0750
(973) 754-2560
Mailing address
559 COVENTRY DR, NUTLEY, NJ 07110-3952
(203) 837-0435

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
7169
CT
363LF0000X
Family Nurse Practitioner
Primary
26NJ00982300
NJ

Other

Enumeration date
08/14/2017
Last updated
03/13/2020
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