Individual
KRISTINE MARY HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
131 STONY CIR STE 1600, SANTA ROSA, CA 95401-9520
(707) 541-7700
(707) 573-5415
Mailing address
2350 W EL CAMINO REAL FL 2, MOUNTAIN VIEW, CA 94040-6203
(707) 541-7700
(707) 573-5415
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP5225
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP5225
STATE MEDICAL LICENSE
CA
Enumeration date
04/28/2008
Last updated
03/07/2023
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