DR. GOVERNOR HENRY HENDERSON DNP NPI 1538639497

NPI Information

  • NPI: 1538639497
  • Provider Name: DR. GOVERNOR HENRY HENDERSON, DNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 75 COLONIA DE SALUD # 200
    SIERRA VISTA, AZ
    ZIP 85635
  • Phone: (520) 263-2690

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NPI Details

DR. Governor Henry Henderson, DNP is a family nurse practitioner in Sierra Vista, AZ with 8 years of experience. DR. Governor Henry Henderson, DNP NPI is 1538639497. 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:

75 COLONIA DE SALUD # 200
SIERRA VISTA, AZ
ZIP 85635-487
Phone: (520) 263-2690

The NPI 1538639497 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 12/4/2018 and was last updated on 4/1/2023.

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
1208800000XUrologyRN252065GEORGIANo
2363LF0000XNurse PractitionerFamily288860ARIZONANo
3363LF0000XNurse PractitionerFamilyRN252065GEORGIAYes

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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