Individual provider · Type 1 NPI

Amy Henegar

Gerontology Registered Nurse · Elizabethton, TN

NPI number 1235896093 Active

Practice location

220 Old Siam Rd
Elizabethton, TN 37643-4724

Specialties and licenses

TaxonomyCodeLicense
Gerontology Registered Nurse Primary 163WG0600X128169 (TN)

Gerontology Registered Nurse: Definition to come...

About NPI 1235896093

Amy Henegar's National Provider Identifier is 1235896093, issued on Nov 29, 2021. The primary taxonomy on file is Gerontology Registered Nurse (163WG0600X), and the practice location is in Elizabethton, TN. The record was last updated on Nov 29, 2021.