NPI 1124253554

Freda Ann Henderson

Practitioner Independent Duty Medical Technicians Nellis Afb, NV

Practice location

Address: 4250 Griffiss Ave, Nellis Afb, NV 89191-7018
Phone: (702) 404-1142

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1124253554
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 May 2009
Record last updated: 27 Jul 2009

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.