Henderson, Annie Laura

Henderson, Annie Laura is an individual health care provider with primary practice located at 10 Tower Dr , Sun Prairie WI 53590-1239. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Henderson, Annie Laura can be contacted via phone (608) 825-3500.

Contact Information

Primary practice address
10 Tower Dr Sun Prairie WI 53590-1239
Phone: (608) 825-3500
Fax: (608) 825-3793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 15002-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 15002-33 Wisconsin

Profile Details

NPI number 1649038258
LBN Legal business name Henderson, Annie Laura
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2024
Last updated Jun 18th, 2024 - about 5 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649038258 NPPES
Wisconsin MEDICAID 1649038258

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