Individual
MRS. LAUREL ANN HENDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
35 EMPSALL PLAZA, WATERTOWN, NY 13601
(315) 782-6400
(315) 782-1330
Mailing address
1429 GILL ST, APT 4410, WATERTOWN, NY 13601-2900
(315) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F#334502
NY
Other
Enumeration date
08/10/2005
Last updated
07/08/2007
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