Susan Henderson APRN

NPI 1437350410 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1437350410
Gender Female
Enumeration Date 05/29/2007
Last Updated 12/21/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
2738 N DECATUR RD
DECATUR GA, 30033-5910, US
Phone (404) 508-8058
Fax
Business Location
PO BOX 2526
TUCKER GA, 30085-2526, US
Phone
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Georgia
License Number RN200252 NP
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According to our database, Susan Henderson APRN NPI is 1437350410, taxonomy code is 363LF0000X and license number is RN200252 NP, license state is located at Georgia. Susan Henderson APRN physically located at 2738 N Decatur Rd, Decatur GA, 30033-5910. NPI Number Susan Henderson APRN has the Individual type.

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1437350410 NPI number is provided on an as is basis without warranty of any kind. 1437350410 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Henderson APRN are for informational purposes only.