Henderson, Lisa

Henderson, Lisa is an individual health care provider with primary practice located at 5 Perryridge Rd , Greenwich CT 06830-4608. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Henderson, Lisa can be contacted via phone (203) 863-3000.

Contact Information

Primary practice address
5 Perryridge Rd Greenwich CT 06830-4608
Phone: (203) 863-3000
Fax: (203) 863-4520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 003209 Connecticut

Profile Details

NPI number 1801076039
LBN Legal business name Henderson, Lisa
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2007
Last updated Nov 5th, 2007 - about 18 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 1801076039 NPPES
Connecticut Other 075252 RN
Connecticut Other 003209 RN

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