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

PHILANA J HENDERSON, CPNP

Active Sole Proprietor

PHILANA J HENDERSON, CPNP is a Pediatric Nurse Practitioner healthcare provider located in NEW SQUARE, New York. NPI 1134896327 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · NEW SQUARE, NY

Registration Details

NPI Number
1134896327
Provider Type
Individual
Gender
Female
NPI Issued
Aug 25, 2021 (4.9831812706374 yrs)
Last Updated
Oct 7, 2021
License
383340 (NY)
Sole Proprietor
Yes

Practice Information

Address
728 N MAIN ST
NEW SQUARE, NY, 109778916
Browse NY providers · Browse ZIP 10977
Phone
8453549300
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X

Other Pediatric Nurse Practitioner Providers in NEW SQUARE, NY

Name Credential NPI
MALLORY ENG BURGER MS, CPNP 1104116763
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.