Individual provider · Type 1 NPI

Earlena Henderson

Primary Care Nurse Practitioner · Bronx, NY

NPI number 1376149724 Active

Practice location

2015 Grand Ave Apt 2F
Bronx, NY 10453-4576

Call (718) 299-7285 Map

Mailing address

1434 Williamsbridge Rd Fl 2
Bronx, NY 10461-2507

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XF30996-01 (NY)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1376149724

Earlena Henderson's National Provider Identifier is 1376149724, issued on Dec 10, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Bronx, NY. The record was last updated on Mar 19, 2021.