Individual provider · Type 1 NPI

Therese Henry

Pediatric Nurse Practitioner · Centralia, WA

NPI number 1083132161 Active

Practice location

1911 Cooks Hill Rd
Centralia, WA 98531-9073

Fax (360) 736-6552

Mailing address

305 N 1100 E
Zionsville, IN 46077-9756

Other practice locations

  • 3400 Lafayette Rd Ste 200, Indianapolis, IN 46222-1147 · (317) 291-7422

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X28193241A (IN)
Pediatric Nurse Practitioner Primary 363LP0200XAP60911627 (WA)

Pediatric Nurse Practitioner: Definition to come...

23 other providers at this address

Other pediatric nurse practitioner providers in Centralia

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About NPI 1083132161

Therese Henry's National Provider Identifier is 1083132161, issued on Sep 8, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Centralia, WA. The record was last updated on Jan 26, 2019.