Teresa Lynn Henderson in Sunrise - Medical

Teresa Lynn Henderson - NPI 1457380990

Teresa Lynn Henderson is a Medical in Sunrise, Florida. Teresa Lynn Henderson practices all healthcare services and medical treatments related to Medical. The NPI Number for Teresa Lynn Henderson is 1457380990. The last update date is 2007-07-08.

Teresa Lynn Henderson's current location address is 14050 Nw 14th St, Sunrise, Florida. You can contact this provider via phone number 8004243672 and fax number 9543773042. The mailing address for Teresa Lynn Henderson is 14050 Nw 14th St, Sunrise, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Teresa Lynn Henderson
Address 14050 Nw 14th St, Sunrise, Florida
Phone Number 8004243672
Fax Number 9543773042
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1457380990
Provider Enumeration Date 2006-06-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 14050 Nw 14th St
City Sunrise
State Florida (FL)
Post Code 333232865
Phone Number 8004243672
Fax Number 9543773042

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA-20
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9935037 AL --

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FAQs about Teresa Lynn Henderson

What is the unique provider identifier assigned to Teresa Lynn Henderson?

The Teresa Lynn Henderson has been issued the NPI (National Provider Identifier) 1457380990 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Teresa Lynn Henderson's facilities are situated?

The facilities of Teresa Lynn Henderson are physically located at the following address: 14050 Nw 14Th St, Sunrise, FL, 333232865.

What is Teresa Lynn Henderson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Teresa Lynn Henderson is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.

When did Teresa Lynn Henderson receive its 1457380990 assignment?

The Teresa Lynn Henderson was assigned its 1457380990 on 2006-06-30, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Teresa Lynn Henderson most recently updated or revised?

The information pertaining to Teresa Lynn Henderson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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