Individual
DR. ALEXA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10 WOODLAND RD, SAINT HELENA, CA 94574-9554
(707) 963-2002
Mailing address
10 WOODLAND RD, SAINT HELENA, CA 94574-9554
(707) 963-2002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01064878A
IN
207R00000X
Internal Medicine Physician
MD174910
OR
208M00000X
Hospitalist Physician
A114649
CA
208M00000X
Hospitalist Physician
Primary
MD174910
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500703945
—
OR
01
—
P01715754
RR MEDICARE (PH&S)-PMG
OR
Enumeration date
04/17/2008
Last updated
06/15/2023
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