Individual
BRENDA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
NNMC, N HWY 491, SHIPROCK, NM 87420
(505) 368-6001
Mailing address
12403 ROAD 26, CORTEZ, CO 81321-9384
(435) 219-3278
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0995772
CO
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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