Individual
MISS MEGHAN ELIZABETH HENDERSHOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
6734 LAKEWAY ST, YPSILANTI, MI 48197-1054
(734) 645-8125
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
4704354336
MI
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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