Individual
BONNIE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
260 HOSPITAL DR, SUITE 201, UKIAH, CA 95482-4533
(707) 463-8000
(707) 462-1111
Mailing address
260 HOSPITAL DR, SUITE 201, UKIAH, CA 95482-4533
(707) 463-8000
(707) 462-1111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6880
CA
363LF0000X
Family Nurse Practitioner
RN336437
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6880
FNP CERTIFICATE
CA
Enumeration date
01/23/2007
Last updated
11/10/2022
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