BREON MAREE HENDERSON RNC MSN CLC NPI 1851837454

NPI Information

  • NPI: 1851837454
  • Provider Name: BREON MAREE HENDERSON, RNC, MSN, CLC
  • Classification: Registered Nurse - 163WL0100X
  • Specialization: Lactation Consultant
  • Entity Type: Individual
  • Address: 510 CYPRESS ST
    STE D
    FORT BRAGG, CA
    ZIP 95437
  • Phone: (707) 964-5696

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NPI Details

Breon Maree Henderson, RNC, MSN, CLC is a lactation consultant registered nurse in Fort Bragg, CA. Breon Maree Henderson, RNC, MSN, CLC NPI is 1851837454. 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:

510 CYPRESS ST
STE D
FORT BRAGG, CA
ZIP 95437-411
Phone: (707) 964-5696
Fax: (707) 964-6274

The enumeration date for this NPI number is 1/6/2017 and was last updated on 1/6/2017.

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
1163WL0100XRegistered NurseLactation Consultant95023758CALIFORNIAYes

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: 3/30/2025

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