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TERESA ROSE HENDERSON NURSE PRACTITIONER NPI 1083496442


NPI Information

NPI: 1083496442
Provider Name: TERESA ROSE HENDERSON, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
115 MILL ST
BELMONT, MA
ZIP 02478
Phone: (617) 855-2356
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Teresa Rose Henderson, NURSE PRACTITIONER is a family nurse practitioner in Belmont, MA with 1 years of experience. Teresa Rose Henderson, NURSE PRACTITIONER NPI is 1083496442. 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:

115 MILL ST
BELMONT, MA
ZIP 02478-064
Phone: (617) 855-2356

The NPI 1083496442 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/19/2023 and was last updated on 1/17/2024.


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
1363L00000XNurse PractitionerRN262715MASSACHUSETTSNo
2163WP0808XRegistered NursePsychiatric/Mental HealthRN262715MASSACHUSETTSNo
3363LF0000XNurse PractitionerFamilyRN262715MASSACHUSETTSYes

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: 5/5/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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