Search › Arizona › 363LF0000X
Governor Henderson, DNP
NPI 1538639497 · on the registry since 2018
Practice
- Address
- 75 Colonia De Salud # 200
Sierra Vista, AZ 85635 - Phone
- (520) 263-2690
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 208800000X
363LF0000X - Licence states on file
- GA, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona