Individual
RACHEL HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8640 EAGLE CREEK PKWY, SAVAGE, MN 55378-1284
(952) 746-0583
Mailing address
8640 EAGLE CREEK PKWY, SAVAGE, MN 55378-1284
(952) 746-0583
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R200870-9
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R200870-9
REGISTERED NURSE LICENSE NUMBER
—
Enumeration date
04/01/2014
Last updated
04/01/2014
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