Henderson, Malinda Teresa
Henderson, Malinda Teresa is an individual health care provider with primary practice located at 100 Freeman Dr , Saint Peter MN 56082-3504. She recently has 3 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 / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Henderson, Malinda Teresa can be contacted via phone (507) 931-7125.Contact Information
Primary practice address
100 Freeman Dr
Saint Peter MN 56082-3504
Phone: (507) 931-7125
Fax: (507) 931-7126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R100511-4 | Minnesota |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R100511-4 | Minnesota |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R100511-4 | Minnesota |
Profile Details
| NPI number | 1427159854 |
|---|---|
| LBN Legal business name | Henderson, Malinda Teresa |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Aug 17th, 2021 - about 3 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 | 1427159854 | NPPES |
| Minnesota | Other | 32F26HE | BLUE CROSS / BLUE SHIELD |
| Minnesota | MEDICAID | 571822800 | BLUE CROSS / BLUE SHIELD |
| Minnesota | Other | 500005162 | BLUE CROSS / BLUE SHIELD |
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