MR. Ethan M Henderson, FNP-C is a family nurse practitioner in Springfield, MO with 6 years of experience. MR. Ethan M Henderson, FNP-C NPI is 1447817788. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3231 S NATIONAL AVE STE 170
SPRINGFIELD, MO
ZIP 65807-304
Phone: (417) 885-0868
The NPI 1447817788 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 5/22/2019 and was last updated on 6/19/2019.