Search › Idaho › 363L00000X
Justin Henderson, NP
NPI 1770112138 · on the registry since 2020
Practice
- Address
- 151 W Prairie Ave
Hayden, ID 83835 - Phone
- (208) 719-4880
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LF0000X
- Licence states on file
- ID, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-02-22
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 Idaho