Individual provider · Type 1 NPI

Carletta Y. Henderson

Ambulatory Care Registered Nurse · Los Angeles, CA

NPI number 1104522218 Active

Practice location

12021 Wilmington Ave
Los Angeles, CA 90059-3019

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Care Registered Nurse Primary 163WP2201X482184 (CA)

Ambulatory Care Registered Nurse: Definition to come...

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About NPI 1104522218

Carletta Y. Henderson's National Provider Identifier is 1104522218, issued on Feb 1, 2023. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 1, 2023.