Individual
CARMEN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 E 2ND ST, ERIE, PA 16507-1502
(814) 877-6000
Mailing address
1205 CHELSEA AVE, ERIE, PA 16505-3311
(808) 392-8914
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP013980
PA
Other
Enumeration date
08/04/2014
Last updated
11/04/2019
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