Individual
HAILEY D HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2815 OH-100, TIFFIN, OH 44883
(419) 448-9728
Mailing address
2815 OH-100, TIFFIN, OH 44883
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN.CNP.0031070
OH
Other
Enumeration date
04/12/2022
Last updated
08/17/2023
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