National Provider Identifier

Tanya Denise Henderson

Tanya Denise Henderson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 419-5605.

NPI 1659768562Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1659768562
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 17, 2015
Last Updated
April 17, 2015

Practice Location

  • 132 Pennwood Dr Apt B
  • Rochester, NY 14625-2542

Phone: (585) 419-5605

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1659768562
Entity Type
Individual
Last Name
Henderson
First Name
Tanya
Middle Name
Denise
Name Prefix
MS.
Mailing Street Address
132 Pennwood Dr Apt B
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14625-2542
Mailing Country
US
Mailing Phone
(585) 419-5605
Practice Street Address
132 Pennwood Dr Apt B
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14625-2542
Practice Country
US
Practice Phone
(585) 419-5605
Enumeration Date
April 17, 2015
Last Updated
April 17, 2015
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)