Henson, Wanda Jeraldean
Henson, Wanda Jeraldean is an sole proprietor health care provider with primary practice located at 920 W Broadway St , Hobbs NM 88240-5529. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Henson, Wanda Jeraldean can be contacted via phone (575) 393-3168.Contact Information
Primary practice address
920 W Broadway St
Hobbs NM 88240-5529
Phone: (575) 393-3168
Fax: (575) 397-4659
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | R35092 | New Mexico |
Profile Details
| NPI number | 1043458961 |
|---|---|
| LBN Legal business name | Henson, Wanda Jeraldean |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2009 |
| Last updated | Jan 30th, 2009 - about 15 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 | 1043458961 | NPPES |
| New Mexico | MEDICAID | 463000 |
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