Individual provider · Type 1 NPI

Mallory Henderson, LPN

Licensed Practical Nurse · Sauquoit, NY

NPI number 1669168704 Active

Practice location

3084 Oneida St
Sauquoit, NY 13456-2916

Mailing address

9402 Paris Hill Rd
Sauquoit, NY 13456-2118

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X3 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1669168704

Mallory Henderson, LPN's National Provider Identifier is 1669168704, issued on Apr 12, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Sauquoit, NY. The record was last updated on Apr 12, 2023.