Jacqueline Mary Henrich CNM, WHNP

NPI 1083990246 - Nurse Practitioner - 363LW0102X

NPI Details
NPI 1083990246
Gender Female
Enumeration Date 11/01/2011
Last Updated 01/27/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
1600 EUREKA RD
ROSEVILLE CA, 95661-3027, US
Phone (916) 784-4000
Fax
Business Location
3006 ACTON WAY
ROSEVILLE CA, 95747-7457, US
Phone (415) 300-7794
Fax
Toxanomy
Taxonomy Code 363LW0102X
License State California
License Number NP 21109
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According to our database, Ms. Jacqueline Mary Henrich CNM, WHNP NPI is 1083990246, taxonomy code is 363LW0102X and license number is NP 21109, license state is located at California. Jacqueline Mary Henrich CNM, WHNP physically located at 1600 Eureka Rd, Roseville CA, 95661-3027. NPI Number Jacqueline Mary Henrich CNM, WHNP has the Individual type.

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1083990246 NPI number is provided on an as is basis without warranty of any kind. 1083990246 is maintained by the National Plan & Provider Enumeration System. The contents of Jacqueline Mary Henrich CNM, WHNP are for informational purposes only.