Individual provider · Type 1 NPI

Kywina Marie Henderson, FNP, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Sherman Oaks, CA

NPI number 1609079839 Active

Practice location

13425 Ventura Blvd Ste 201
Sherman Oaks, CA 91423-3974

Mailing address

1609 Vermont Pl
Pomona, CA 91768-1461

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X17177 (CA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X17177 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1609079839

Kywina Marie Henderson, FNP, PMHNP-BC's National Provider Identifier is 1609079839, issued on Jun 6, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Sherman Oaks, CA. The record was last updated on Jun 21, 2022.