Individual
MRS. LINDA KATHERINE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1551 PROFESSIONAL LN, SUITE 235, LONGMONT, CO 80501-6972
(720) 494-4700
(720) 494-4706
Mailing address
1551 PROFESSIONAL LN, SUITE 235, LONGMONT, CO 80501-6972
(720) 494-4700
(720) 494-4706
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5671
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94836850
—
CO
Enumeration date
08/13/2006
Last updated
04/07/2009
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