NPI 1114509650

Eden Christian Henry

Practitioner Pediatrics Physician Gallup, NM

Practice location

Address: 516 E Nizhoni Blvd, Gallup, NM 87301-5748
Phone: (505) 722-1000
Mailing address: 6102 Private Road 6470, Lubbock, TX 79416-3351

Registered specialties (5)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 175086 (FL)

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Registry record

NPI: 1114509650
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Apr 2021
Record last updated: 29 Sep 2025

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.