Organization
BLUEBIRDS & DAFFODILS, LLC
Active
Other names
Bluebirds & Daffodils, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ELAINE HENDERSON APRN, PMHNP-BC (NURSE PRACTITIONER)
(507) 884-4856
Entity
Organization
Contact information
Practice address
225 CHIPPEWA ST, BRAINERD, MN 56401-3308
(507) 884-4856
Mailing address
225 CHIPPEWA ST, BRAINERD, MN 56401-3308
(507) 884-4856
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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