Individual
ANDREA LYNN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN MSN
Contact information
Practice address
11450 E VIEW DR, AMARILLO, TX 79124-4782
(806) 358-3894
Mailing address
11450 E VIEW DR, AMARILLO, TX 79124-4782
(806) 358-3894
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
072692
IA
163W00000X
Registered Nurse
Primary
633057
TX
163W00000X
Registered Nurse
RN058314
AZ
163W00000X
Registered Nurse
—
IL
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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