Individual provider · Type 1 NPI
Teresa Rose Henderson, NURSE PRACTITIONER
Family Nurse Practitioner · Belmont, MA
NPI number
1083496442
Active
Practice location
115 Mill St
Belmont, MA 02478-1064
Other practice locations
- 55 Fruit St, Boston, MA 02114-2621 · (617) 855-2354
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | RN262715 (MA) |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN262715 (MA) |
| Family Nurse Practitioner Primary | 363LF0000X | RN262715 (MA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1083496442
Teresa Rose Henderson, NURSE PRACTITIONER's National Provider Identifier is 1083496442, issued on Oct 19, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Belmont, MA. The record was last updated on Jan 17, 2024.