Individual
MALINDA TERESA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 FREEMAN DR, SAINT PETER, MN 56082-3504
(507) 931-7125
(507) 931-7126
Mailing address
100 FREEMAN DR, SAINT PETER, MN 56082-3504
(507) 931-7125
(507) 931-7126
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R100511-4
MN
363LF0000X
Family Nurse Practitioner
R100511-4
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R100511-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32F26HE
BLUE CROSS / BLUE SHIELD
MN
01
—
500005162
RAILROAD PROVIDER #
MN
05
—
571822800
—
MN
Enumeration date
09/26/2006
Last updated
08/17/2021
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