NPI 1063266062

Demetria Antoinete Henderson, CNA

Practitioner Nurse's Aide Atlanta, GA

Practice location

Address: 570 Piedmont Ave NE Unit 55583, Atlanta, GA 30308-8719
Phone: (615) 500-5600

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence CN0030092062 (GA)

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Registry record

NPI: 1063266062
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Apr 2024
Record last updated: 16 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.