Henderson, Kywina Marie

Henderson, Kywina Marie is an sole proprietor health care provider with primary practice located at 13425 Ventura Blvd Ste 201 , Sherman Oaks CA 91423-3974. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Henderson, Kywina Marie can be contacted via phone (818) 305-6061.

Contact Information

Primary practice address
13425 Ventura Blvd Ste 201 Sherman Oaks CA 91423-3974
Phone: (818) 305-6061
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 17177 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 17177 California

Profile Details

NPI number 1609079839
LBN Legal business name Henderson, Kywina Marie
Credentials FNP, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2007
Last updated Jun 21st, 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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