Henderson, Amy Josephine

Henderson, Amy Josephine is an sole proprietor health care provider with primary practice located at 8990 Springbrook Dr Nw Suite 250, Coon Rapids MN 55433-5850. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Henderson, Amy Josephine can be contacted via phone (763) 398-1176.

Contact Information

Primary practice address
8990 Springbrook Dr Nw Suite 250 Coon Rapids MN 55433-5850
Phone: (763) 398-1176
Fax: (763) 398-0124
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R1563313 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 090378 Minnesota

Profile Details

NPI number 1306194717
LBN Legal business name Henderson, Amy Josephine
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2012
Last updated Aug 16th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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