DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. CORRETTA N HENRY-RUSSELL

Active Sole Proprietor

MRS. CORRETTA N HENRY-RUSSELL is a Clinic/Center healthcare provider located in SANFORD, Florida. NPI 1063067098 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · SANFORD, FL

Registration Details

NPI Number
1063067098
Provider Type
Individual
Gender
Female
NPI Issued
Aug 6, 2019 (7.0423481848719 yrs)
Last Updated
Aug 6, 2019
Sole Proprietor
Yes

Practice Information

Address
1672 STARGAZER TER
SANFORD, FL, 327719286
Browse FL providers · Browse ZIP 32771
Phone
4078608048
Primary Specialty
Clinic/Center
261Q00000X
Additional Specialty
Clinic/Center
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.