Individual
KRISTA MAE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(866) 520-2510
Mailing address
7599 COUNTY ROAD V, MARSHFIELD, WI 54449-9769
(715) 676-2421
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
199977-30
WI
363L00000X
Nurse Practitioner
Primary
11799-33
WI
Other
Enumeration date
01/05/2022
Last updated
03/02/2022
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