Individual provider · Type 1 NPI

Andrea Dawn Henderson, LPN

Licensed Practical Nurse · Cincinnati, OH

NPI number 1700753431 Active

Practice location

830 Ezzard Charles Dr
Cincinnati, OH 45214-2525

Mailing address

3231 Heritage Square Dr Apt 42
Cincinnati, OH 45251-5103

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X192471 (OH)

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 1700753431

Andrea Dawn Henderson, LPN's National Provider Identifier is 1700753431, issued on Oct 17, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Cincinnati, OH. The record was last updated on Oct 24, 2025.