Individual
ERIN J HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
3240 14TH AVE NW, OLYMPIA, WA 98502-8509
(360) 866-7990
Mailing address
PO BOX 11789, OLYMPIA, WA 98508-1789
(360) 866-7990
(360) 866-4577
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30007081
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013773
—
WA
05
—
9646159
—
WA
Enumeration date
11/06/2006
Last updated
04/13/2018
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