Henderson, Heather L

Henderson, Heather L is an individual health care provider with primary practice located at 3351 W Main St , St Charles IL 60175-1004. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Henderson, Heather L can be contacted via phone (800) 323-8622.

Contact Information

Primary practice address
3351 W Main St St Charles IL 60175-1004
Phone: (800) 323-8622
Fax: (224) 225-0350
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X ARNP329599 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209006743 Illinois

Profile Details

NPI number 1306864806
LBN Legal business name Henderson, Heather L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jun 27th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306864806 NPPES
Florida MEDICAID 250792700

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