Individual provider · Type 1 NPI
Vesta Lee Henderson, RN
Ambulatory Care Registered Nurse · Viera, FL
NPI number
1245694140
Active
Practice location
2900 Veterans Way
Viera, FL 32940-8007
Mailing address
346 Beach Park Ln
Cape Canaveral, FL 32920-5031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Care Registered Nurse Primary | 163WP2201X | RN2991522 (FL) |
Ambulatory Care Registered Nurse: Definition to come...
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About NPI 1245694140
Vesta Lee Henderson, RN's National Provider Identifier is 1245694140, issued on Apr 7, 2016. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Viera, FL. The record was last updated on Apr 7, 2016.