Individual
MISS ANDREA DAWN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
830 EZZARD CHARLES DR, CINCINNATI, OH 45214-2525
(513) 381-6672
Mailing address
3231 HERITAGE SQUARE DR APT 42, CINCINNATI, OH 45251-5103
(513) 413-8482
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
192471
OH
Other
Enumeration date
10/17/2025
Last updated
10/24/2025
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