Individual
PATRENA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1391 NW 136TH AVE, SUNRISE, FL 33323-2800
(870) 635-5142
(678) 937-8246
Mailing address
1391 NW 136TH AVE, SUNRISE, FL 33323-2800
(870) 635-5142
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R056268
AR
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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