Individual provider · Type 1 NPI

Maryanne Henderson, NP

Gerontology Nurse Practitioner · New York, NY

NPI number 1811945165 Active

Practice location

423 E 23rd St
New York, NY 10010-5011

Call (212) 951-6848 Map

Mailing address

942 E 32nd St
Brooklyn, NY 11210-3938

Specialties and licenses

Taxonomy	Code	License
Gerontology Nurse Practitioner Primary	363LG0600X	F3401281 (NY)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1811945165

Maryanne Henderson, NP's National Provider Identifier is 1811945165, issued on May 5, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in New York, NY. The record was last updated on Jul 13, 2026.