Individual provider · Type 1 NPI

Victoria Henriquez, PA-C

Surgical Physician Assistant · St. Helena, CA

NPI number 1184909905 Active

Practice location

6 Woodland Rd Ste 202
St. Helena, CA 94574

Other practice locations

  • 4215 Edgewater Dr, Orlando, FL 32804-2206 · (407) 539-2000
  • 4215 Edgewater Dr, Orlando, FL 32804-2206 · (407) 539-2000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA9106201 (FL)
Surgical Physician Assistant 363AS0400XPA9106201 (FL)
Surgical Physician Assistant Primary 363AS0400X53883 (CA)

Surgical Physician Assistant: Definition to come...

5 other providers at this address

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About NPI 1184909905

Victoria Henriquez, PA-C's National Provider Identifier is 1184909905, issued on Oct 12, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in St. Helena, CA. The record was last updated on Nov 12, 2018.