MARY CHRISTINE HENDERSON RN NPI 1699367078

NPI Information

NPI: 1699367078
Provider Name: MARY CHRISTINE HENDERSON, RN
Classification: Registered Nurse - 163WA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
595 W MAIN ST
WATERTOWN, NY
ZIP 13601
Phone: (315) 788-1530
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Mary Christine Henderson, RN is an addiction (substance use disorder) registered nurse in Watertown, NY. Mary Christine Henderson, RN NPI is 1699367078. 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:

595 W MAIN ST
WATERTOWN, NY
ZIP 13601-335
Phone: (315) 788-1530
Fax: (315) 755-2037

The enumeration date for this NPI number is 2/8/2021 and was last updated on 2/8/2021.

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	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	361911-1	NEW YORK	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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