Individual
AMY HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1351 S STATE ST, UKIAH, CA 95482-6459
(707) 485-3935
Mailing address
2274 COVENTRY CT, SANTA ROSA, CA 95401-8818
(415) 305-6640
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
637609
CA
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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