DR. REBECCA GAGNE HENDERSON PHD NP-C FNP ACHPN NPI 1851521215

NPI Information

NPI: 1851521215
Provider Name: DR. REBECCA GAGNE HENDERSON, PHD, NP-C FNP ACHPN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1579 STRAITS TPKE STE 1E
MIDDLEBURY, CT
ZIP 06762
Phone: (203) 490-1000
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DR. Rebecca Gagne Henderson, PHD, NP-C FNP ACHPN is a family nurse practitioner in Middlebury, CT. DR. Rebecca Gagne Henderson, PHD, NP-C FNP ACHPN NPI is 1851521215. 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:

1579 STRAITS TPKE STE 1E
MIDDLEBURY, CT
ZIP 06762-835
Phone: (203) 490-1000

The NPI 1851521215 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 7/20/2009 and was last updated on 5/9/2022.

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	363LF0000X	Nurse Practitioner	Family	4925	CONNECTICUT	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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