Individual
ANGELA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1900 EXETER RD STE 210, GERMANTOWN, TN 38138-2954
(901) 818-2160
Mailing address
920 COURT AVE, MEMPHIS, TN 38163-0001
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
20350
TN
Other
Enumeration date
06/19/2015
Last updated
01/12/2018
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