Individual
HENRIETTE MASON DEDMONDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN.,MSN.,FNP
Contact information
Practice address
317 N KING ST STE A, HENDERSONVILLE, NC 28792-4349
(828) 693-3344
(855) 308-2340
Mailing address
PO BOX 360, SYLVA, NC 28779-0360
(888) 339-6065
(828) 538-4441
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5013979
NC
363LF0000X
Family Nurse Practitioner
3157
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639239288
—
NC
01
—
20EMM
BCBS NC
NC
01
—
3357143
UHC
NC
01
—
9284962
CIGNA
NC
01
—
NNF092A
MEDICARE
NC
01
—
Q00028729
RAILROAD MEDICARE
NC
Enumeration date
12/12/2006
Last updated
07/12/2021
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