Individual provider · Type 1 NPI

Lateasha Lakira Henderson, FNP

Family Nurse Practitioner · Greenville, SC

NPI number 1730799800 Active

Practice location

3901 Pelham Rd
Greenville, SC 29615-5004

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X24224 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1730799800

Lateasha Lakira Henderson, FNP's National Provider Identifier is 1730799800, issued on Aug 4, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Greenville, SC. The record was last updated on Sep 13, 2021.