Individual
DEANNA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
813 N WASHINGTON AVE, ROSWELL, NM 88201-3941
(575) 622-2606
Mailing address
813 N WASHINGTON AVE, ROSWELL, NM 88201-3999
(575) 622-2606
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
APRN-CNP-69146
NM
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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