Individual
GREGG HENAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1244 VAIL ST, PRINCETON, IN 47670-9513
(812) 385-0794
Mailing address
1244 VAIL ST, PRINCETON, IN 47670-9513
Taxonomy
Speciality
Code
Description
License number
State
364SL0600X
Long-Term Care Clinical Nurse Specialist
Primary
28210519A
IN
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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