Individual
SANDRA C. HENKE
Active
Individual
SANDRA C. HENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ANP, CNS
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
453877
TX
364S00000X
Clinical Nurse Specialist
453877
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042597701
—
TX
01
—
87N594
BCBS
TX
01
—
P00136149
RR MEDICARE
TX
Enumeration date
01/17/2007
Last updated
12/05/2018
Update your record
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