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
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Registered Nurse Primary | 163WG0600X | 128169 (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.