Henry, Myrtle A
Henry, Myrtle A is an individual health care provider with primary practice located at 303 Se 17Th St 5Th Floor, Ft Lauderdale FL 33316-2523. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Henry, Myrtle A can be contacted via phone (954) 355-4938.Contact Information
Primary practice address
303 Se 17Th St 5Th Floor
Ft Lauderdale FL 33316-2523
Phone: (954) 355-4938
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP1145942 | Florida |
Profile Details
| NPI number | 1245326347 |
|---|---|
| LBN Legal business name | Henry, Myrtle A |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245326347 | NPPES |
| Florida | Other | Y7856 | BCBS |
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