Individual
DOROTHY HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
144 N. ORCHARD HEIGHTS WAY, NAMPA, ID 83651-8344
(208) 440-6771
(888) 647-0695
Mailing address
144 N. ORCHARD HEIGHTS WAY, NAMPA, ID 83651-8344
(208) 440-6771
(888) 647-0695
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
N-27130
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N-27130
NURSING LICENSE
ID
Enumeration date
10/30/2008
Last updated
11/16/2009
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