Individual
TRAVIS EDWARD HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, PMHNP-BC
Contact information
Practice address
3655 E GRANT RD, TUCSON, AZ 85716-2933
(520) 670-3909
(520) 309-2560
Mailing address
839 W CONGRESS ST, TUCSON, AZ 85745-2819
(520) 670-3909
(520) 309-2560
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
266188
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025100009
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
266188
AZ
Other
Enumeration date
09/07/2022
Last updated
05/06/2026
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