Individual provider · Type 1 NPI

Susie Henderson

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1033097753 Active

Practice location

892 27th St
San Diego, CA 92154-1444

Call (619) 575-4687 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1033097753

Susie Henderson's National Provider Identifier is 1033097753, issued on Aug 21, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Jan 15, 2026.