Individual
GENA BETH HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, WHNP-BC, IBCLC
Contact information
Practice address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3200
Mailing address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95147862
CA
163WP1700X
Perinatal Registered Nurse
205584
SC
363LW0102X
Women's Health Nurse Practitioner
24141
SC
363LW0102X
Women's Health Nurse Practitioner
Primary
95016589
CA
Other
Enumeration date
07/10/2020
Last updated
04/18/2022
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