Individual provider · Type 1 NPI

Miriam Patterson Henebry, CPNP

Pediatric Nurse Practitioner · Norfolk, VA

NPI number 1942734686 Active

Practice location

601 Childrens Ln
Norfolk, VA 23507-1910

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner	363LP0200X	5011297 (NC)
Pediatric Nurse Practitioner Primary	363LP0200X	0024177970 (VA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1942734686

Miriam Patterson Henebry, CPNP's National Provider Identifier is 1942734686, issued on Apr 19, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Norfolk, VA. The record was last updated on Dec 17, 2024.