National Provider Identifier
Mary Ellen Henderson, RN
Mary Ellen Henderson, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in West Falls, NY and a listed phone number of (716) 655-8776.
Profile Overview
- NPI
- 1467832485
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- June 04, 2015
- Last Updated
- June 04, 2015
Practice Location
- 1038 Davis RD
- West Falls, NY 14170-9781
Phone: (716) 655-8776
Mailing Address
- 6640 Gartman RD
- Orchard Park, NY 14127-3722
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1467832485
- Entity Type
- Individual
- Last Name
- Henderson
- First Name
- Mary
- Middle Name
- Ellen
- Credential
- RN
- Mailing Street Address
- 6640 Gartman RD
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-3722
- Mailing Country
- US
- Mailing Phone
- (716) 667-6818
- Practice Street Address
- 1038 Davis RD
- Practice City
- West Falls
- Practice State
- NY
- Practice ZIP Code
- 14170-9781
- Practice Country
- US
- Practice Phone
- (716) 655-8776
- Practice Fax
- (716) 655-7877
- Enumeration Date
- June 04, 2015
- Last Updated
- June 04, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)