Individual
VANESSA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
201 CEDAR ST SE STE 800, ALBUQUERQUE, NM 87106-4912
(505) 563-2500
Mailing address
3824 LA CHARLES DR NE, ALBUQUERQUE, NM 87111-4116
(303) 489-7447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53537
NM
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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