Individual
DR. REBECCA GAGNE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, NP-C FNP ACHPN
Contact information
Practice address
1579 STRAITS TPKE STE 1E, MIDDLEBURY, CT 06762-1835
(203) 490-1000
Mailing address
6400 SHAFER CT STE 700, ROSEMONT, IL 60018-4989
(346) 376-1702
(224) 532-2780
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4925
CT
Other
Enumeration date
07/20/2009
Last updated
05/09/2022
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