Individual
CARRIE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CWON
Contact information
Practice address
4101 WOOLWORTH AVE, MAIL CODE 118, OMAHA, NE 68105
(402) 995-4652
Mailing address
4101 WOOLWORTH AVE, MAIL CODE 118, OMAHA, NE 68105
(402) 995-4652
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
57114
NE
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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