Individual
DR. GOVERNOR HENRY HENDERSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
75 COLONIA DE SALUD # 200, SIERRA VISTA, AZ 85635-2487
(520) 263-2690
Mailing address
75 COLONIA DE SALUD # 200, SIERRA VISTA, AZ 85635-2487
(520) 263-2690
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
RN252065
GA
363LF0000X
Family Nurse Practitioner
288860
AZ
363LF0000X
Family Nurse Practitioner
Primary
RN252065
GA
Other
Enumeration date
12/04/2018
Last updated
04/01/2023
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