Individual
MARIE ANN HANSEN HENDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4440 CALLE REAL, SANTA BARBARA, CA 93110-1002
(805) 683-1491
(805) 683-3631
Mailing address
148 CAMETA WAY, SANTA BARBARA, CA 93110-1712
(805) 683-1491
(805) 683-3631
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
447465
CA
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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