Individual
CHAD M HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
100 3RD AVE W STE 110, BRADENTON, FL 34205-8641
(941) 708-9555
(941) 708-5465
Mailing address
100 3RD AVE W STE 110, BRADENTON, FL 34205-8641
(941) 708-9555
(941) 708-5465
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006007A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000985739
ANTHEM
IN
05
—
201339890
—
IN
01
—
4188885
AETNA
FL
01
—
JG667Z
MEDICARE
FL
01
—
RYIMI
BCBS FL
FL
Enumeration date
12/03/2015
Last updated
06/24/2024
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