Henderson, Dana
Henderson, Dana is an individual health care provider with primary practice located at 2929 Calder St Suite 100, Beaumont TX 77702-1845. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Henderson, Dana can be contacted via phone (409) 833-9797.Contact Information
Primary practice address
2929 Calder St Suite 100
Beaumont TX 77702-1845
Phone: (409) 833-9797
Fax: (409) 654-6860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 571225 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP113045 | Texas |
Profile Details
| NPI number | 1508868811 |
|---|---|
| LBN Legal business name | Henderson, Dana |
| Credentials | RN,MSN,CFNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Sep 18th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508868811 | NPPES |
| Texas | MEDICAID | 166952501 |
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