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Individual

MS. LINDA M HENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
1725 E BOULDER ST STE 104, COLORADO SPRINGS, CO 80909-5740
(719) 365-5888
(719) 365-6905
Mailing address
17365 CARIBOU DR E, MONUMENT, CO 80132-7410
(719) 481-8529

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
97933
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34757830
CO
01
97933
COLORADO NURSING LIC.
CO
Enumeration date
02/22/2007
Last updated
02/23/2010
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