Individual provider · Type 1 NPI
Troy Henderson, CRNP
Primary Care Nurse Practitioner · Fultondale, AL
NPI number
1609324003
Active
Practice location
1604 Stouts Rd
Fultondale, AL 35068-1962
Fax (205) 250-9812
Mailing address
PO Box 830230
Birmingham, AL 35283-0230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 1-143199 (AL) |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1609324003
Troy Henderson, CRNP's National Provider Identifier is 1609324003, issued on Sep 14, 2016. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Fultondale, AL. The record was last updated on Sep 14, 2016.