Individual
SHERIE A HENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
434448 170 E RD, VINITA, OK 74301
(918) 740-6990
Mailing address
434448 E 170 RD, VINITA, OK 74301-5506
(918) 740-6990
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
77549
OK
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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