NICARRO HENDERSON NPI 1205373917

NPI Information

  • NPI: 1205373917
  • Provider Name: NICARRO HENDERSON
  • Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
  • Specialization: Customized Equipment
  • Entity Type: Individual
  • Address: 2005 E DAWSON RD
    ALBANY, GA
    ZIP 31707
  • Phone: (229) 809-7246

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NPI Details

Nicarro Henderson is a customized equipment durable medical equipment medical supplies in Albany, GA. Nicarro Henderson NPI is 1205373917. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2005 E DAWSON RD
ALBANY, GA
ZIP 31707
Phone: (229) 809-7246

The enumeration date for this NPI number is 1/20/2017 and was last updated on 4/3/2019.

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
1174400000XSpecialistCO102526GEORGIANo
2332B00000XDurable Medical Equipment & Medical SuppliesCO102526GEORGIANo
3332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentCO102526GEORGIAYes

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: 11/21/2025

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