BREON MAREE HENDERSON RNC MSN CLC NPI 1851837454

NPI Information

NPI: 1851837454
Provider Name: BREON MAREE HENDERSON, RNC, MSN, CLC
Classification: Registered Nurse - 163WL0100X
Entity Type: Individual

Specialization: Lactation Consultant

Address:
510 CYPRESS ST
STE D
FORT BRAGG, CA
ZIP 95437
Phone: (707) 964-5696
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Breon Maree Henderson, RNC, MSN, CLC is a lactation consultant registered nurse in Fort Bragg, CA. Breon Maree Henderson, RNC, MSN, CLC NPI is 1851837454. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

510 CYPRESS ST
STE D
FORT BRAGG, CA
ZIP 95437-411
Phone: (707) 964-5696
Fax: (707) 964-6274

The enumeration date for this NPI number is 1/6/2017 and was last updated on 1/6/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WL0100X	Registered Nurse	Lactation Consultant	95023758	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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