Bonnie Henderson is a Family in Ukiah, California. Bonnie Henderson practices all healthcare services and medical treatments related to Family. The NPI Number for Bonnie Henderson is 1710031158. The last update date is 2022-11-10.
Bonnie Henderson's current location address is 260 Hospital Dr, Ukiah, California. You can contact this provider via phone number 7074638000 and fax number 7074621111. The mailing address for Bonnie Henderson is 260 Hospital Dr, Ukiah, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bonnie Henderson |
|---|---|
| Address | 260 Hospital Dr, Ukiah, California |
| Phone Number | 7074638000 |
| Fax Number | 7074621111 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1710031158 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2022-11-10 |
Provider Mailing Address Detail
| Address | 260 Hospital Dr |
|---|---|
| City | Ukiah |
| State | California (CA) |
| Post Code | 954824533 |
| Phone Number | 7074638000 |
| Fax Number | 7074621111 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | RN336437 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6880 | CA | FNP CERTIFICATE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Bonnie Henderson by the Centers for Medicare & Medicaid Services?
The Bonnie Henderson has been assigned the NPI (National Provider Identifier) 1710031158 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Bonnie Henderson's facilities are geographically located?
The facilities of Bonnie Henderson are physically situated at the following location: 260 Hospital Dr, Ukiah, CA, 954824533.
What is Bonnie Henderson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bonnie Henderson is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
On what date did the Bonnie Henderson receive the assignment of its 1710031158 from the Centers for Medicare & Medicaid Services?
The Bonnie Henderson was issued its 1710031158 by the Centers for Medicare & Medicaid Services on 2007-01-23.
When was the information related to Bonnie Henderson most recently updated or refreshed?
The details pertaining to the Bonnie Henderson, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-11-10.
NPI Number: 1912900614
Address: 3558 Jefferson St N Ste 1, Lewisburg, WV