National Provider Identifier
Eun Joo K Henry, LICENSED PRACT.NURS
Eun Joo K Henry, LICENSED PRACT.NURS is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Lyons, NY and a listed phone number of (315) 573-0278.
Profile Overview
- NPI
- 1104107804
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- September 08, 2011
- Last Updated
- September 08, 2011
Practice Location
- 9 Sunset Dr
- Lyons, NY 14489-1031
Phone: (315) 573-0278
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1104107804
- Entity Type
- Individual
- Last Name
- Henry
- First Name
- Eun Joo
- Middle Name
- K
- Name Prefix
- Mrs.
- Credential
- LICENSED PRACT.NURS
- Mailing Street Address
- 9 Sunset Dr
- Mailing City
- Lyons
- Mailing State
- NY
- Mailing ZIP Code
- 14489-1031
- Mailing Country
- US
- Mailing Phone
- (315) 573-0278
- Practice Street Address
- 9 Sunset Dr
- Practice City
- Lyons
- Practice State
- NY
- Practice ZIP Code
- 14489-1031
- Practice Country
- US
- Practice Phone
- (315) 573-0278
- Enumeration Date
- September 08, 2011
- Last Updated
- September 08, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)