Individual
GINNY HENDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
30 MEDICAL CENTER BLVD, SUITE 305, UPLAND, PA 19013-3955
(610) 459-5862
Mailing address
PO BOX 1089, CONCORDVILLE, PA 19331-1089
(610) 459-5862
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN239485L
PA
Other
Enumeration date
07/07/2005
Last updated
07/08/2007
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