Individual
MARTHA H HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1005 OLYMPIA AVE NE, OLYMPIA, WA 98506-4033
(360) 791-5933
(360) 534-9169
Mailing address
1005 OLYMPIA AVE NE, OLYMPIA, WA 98506-4033
(360) 791-5933
(360) 534-9169
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30005628
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1471HE
REGENCE RIDER
WV
05
—
9629676
—
WA
Enumeration date
01/16/2007
Last updated
01/21/2008
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