Individual
CASSANDRA LYNN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 N GILBERT RD STE L, GILBERT, AZ 85234-2327
(480) 956-2403
(480) 956-8518
Mailing address
1400 N GILBERT RD STE L, GILBERT, AZ 85234-2327
(480) 956-2403
(480) 956-8518
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
8178
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1176027
NCCPA
—
01
—
8178
ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS
AZ
Enumeration date
04/16/2019
Last updated
07/09/2026
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