NPI 1316383953

Shasta Elizabeth Henderson, MD

Practitioner Orthopaedic Trauma Physician Glendale, AZ

Practice location

Address: 5601 W Eugie Ave STE 100, Glendale, AZ 85304-1256
Phone: (602) 865-4510
Mailing address: 1208 Red Buckeye CT, Moncks Corner, SC 29461-8600

Registered specialties (2)

Orthopaedic Trauma Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207XX0801X Licence 74368 (AZ)

Other Orthopaedic Surgery providers in Arizona →

Orthopaedic Trauma Physician

Allopathic & Osteopathic Physicians Taxonomy 207XX0801X Licence 83022 (SC)

Registry record

NPI: 1316383953
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 May 2013
Record last updated: 11 May 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.